Information Collection

EDCS Screens/Interview - Full Version

IC 189923 under ICR 201011-0960-007 · OMB 0960-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0072 can be found here:

Documents and Forms

Document Name Document Type
EDCS Screens -- Adult CDR.pdf Other-Internal Use Screens
EDCS Screens -- Child CDR.pdf Other-Internal Use Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	EDCS Screens/Interview - Full Version	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.1589 20 CFR 416.989

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internal Use Screens			EDCS Screens -- Adult CDR.pdf		Yes	Yes	Fillable Fileable Signable
Other-Internal Use Screens			EDCS Screens -- Child CDR.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,500	1,200	300
Annual IC Time Burden (Hours)	1,475	1,325	150
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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