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.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MySSAccess Discussion Guide.doc	Other-Focus Group
PCAP Survey SSAA Questionnaire.doc	Other-survey
Template_MySSAccess_Focus_Group[1].docx Template - MySSAccess Focus Group	IC Document
Participant Screener and Infomed Concent.docx MySSAccess Participant Screener and Consent Form	IC Document
PCAP Survey SSAA Questionnaire.doc Template PCAP Survey SSAA Questionnaire	IC Document
Description PCAP Survey SSA Alumni.docx Description PCAP Survey SSA Alumni	IC Document

IC Title:

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

Agency IC Tracking Number:

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			PCAP Survey SSAA Questionnaire.doc		Yes	Yes	Fillable Fileable
Other-Focus Group			MySSAccess Discussion Guide.doc		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 145

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 68 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	145	145
Annual IC Time Burden (Hours)	87	87
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.