Appointed Representative Survey (Interview)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

Survey Interview - Appointed Rep

Appointed Representative Survey (Interview)

OMB: 0960-0788

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Read Paperwork Reduction Act Statement:
Paperwork Reduction Act Statement – This interview, cleared under OMB No. 0960-0788,
meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. Participation in this activity is voluntary. We estimate that it will take
approximately 18 minutes to complete. If you would like to comment on our time estimate,
please send your comments to: SSA, 6401 Security Blvd Baltimore, MD 21235-6401.


File Typeapplication/pdf
File Modified2012-04-03
File Created2012-04-03

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