Information Collection

622 CMS NGS JK MAC Initial Survey - 624 Retirement Services Survey

IC 206746 under ICR 201110-1090-001 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 622 622 CMS NGS JK MAC Initial Survey - 624 Retirement Services Survey	Form and Instruction
622 2013 622 CMS NGS JK MAC initial survey 2013 622 CMS NGS JK MAC initial survey 4 26 13.xlsx	Form and Instruction
623 2013 623 PBGC Customer Sat v2Qnaire 2013 623 PBGC-Customer Sat_v2Qnaire 4-19-13.xlsx	Form and Instruction
624 2013 624 Retirement Services Survey 2013 624 Retirement Services Survey 4 30 13 - OMB approval.xlsx	Form and Instruction

IC Title:

622 CMS NGS JK MAC Initial Survey - 624 Retirement Services Survey

Agency IC Tracking Number:

622 - 624

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	622	2013 622 CMS NGS JK MAC initial survey	2013 622 CMS NGS JK MAC initial survey 4 26 13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	623	2013 623 PBGC Customer Sat v2Qnaire	2013 623 PBGC-Customer Sat_v2Qnaire 4-19-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	624	2013 624 Retirement Services Survey	2013 624 Retirement Services Survey 4 30 13 - OMB approval.xlsx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,800

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,800	10,800
Annual IC Time Burden (Hours)	450	450
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.