Information Collection

Senior Benefits Recipient Survey

IC 197585 under ICR 201007-1510-002 · OMB 1510-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Sr Media Poll Surv ER.doc	Other-Survey
OMB Supp St Sr Media Poll Surv ER.doc Supporting Statement	IC Document

IC Title:

Senior Benefits Recipient Survey

Agency IC Tracking Number:

1510-0074

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Sr Media Poll Surv ER.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	OMB Supp St Sr Media Poll Surv ER.doc	05/05/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.