Information Collection

Ticket to Work (TTW) Program Outreach Materials Interviews

IC 211203 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⚠️ Notice: This information collection may be referencing outdated material.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
Interview Guide Testing Ben TTW Outreach Materials Survey.docx	Other-Survey
TTW Outreach Materials Interviews.docx Template - TTW Outreach Materials Interviews	IC Document

IC Title:

Ticket to Work (TTW) Program Outreach Materials Interviews

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			Interview Guide Testing Ben TTW Outreach Materials Survey.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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	15	15
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template - TTW Outreach Materials Interviews	TTW Outreach Materials Interviews.docx	04/10/2014

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