Information Collection

Information Collection Plan for GovBenefits Online

IC 14747 under ICR 201109-1290-001 · OMB 1290-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Updated_1290-0003_GovBenefits-Questionnaire(09-21-11).doc www.benefits.gov/benefits/benefit-finder/#benefits&qc=cat_1	Other-Decision Tree

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Decision Tree			Updated_1290-0003_GovBenefits-Questionnaire(09-21-11).doc	http://www.benefits.gov/benefits/benefit-finder/#benefits&qc=cat_1	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,345,715

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,345,715	6,345,715
Annual IC Time Burden (Hours)	571,114	571,114
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.