OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Two Customer Satisfaction Surveys (MySSAccess Focus Group and PCAP Survey for SSA Alumni)

IC 200795 under ICR 201107-0960-009 · OMB 0960-0788.

Documents and Forms
Document Name
Document Type
Other-Focus Group
Other-survey
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Two Customer Satisfaction Surveys (MySSAccess Focus Group and PCAP Survey for SSA Alumni)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey PCAP Survey SSAA Questionnaire.doc Yes Yes Fillable Fileable
Other-Focus Group MySSAccess Discussion Guide.doc No   Paper Only

Income Security General Retirement and Disability

 

145 0
   
Individuals or Households
 
   68 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 145 0 145 0 0 0
Annual IC Time Burden (Hours) 87 0 87 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Template - MySSAccess Focus Group Template_MySSAccess_Focus_Group[1].docx 01/18/2012
MySSAccess Participant Screener and Consent Form Participant Screener and Infomed Concent.docx 01/17/2012
Template PCAP Survey SSAA Questionnaire PCAP Survey SSAA Questionnaire.doc 01/18/2012
Description PCAP Survey SSA Alumni Description PCAP Survey SSA Alumni.docx 01/18/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.