Information Collection

Quarterly Survey of Public Pensions

IC 3367 under ICR 201112-0607-002 · OMB 0607-0143.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0143 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form F-10 Quarterly Survey of Public Pensions	Form
Letter from the Director.docx	Other-Cover Letter
F-10 Quarterly Survey of Public Pensions F10 Form for 2012 - 2014.pdf harvester.census.gov/sgf/f10/	Form

IC Title:

Quarterly Survey of Public Pensions

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
Form	F-10	Quarterly Survey of Public Pensions	F10 Form for 2012 - 2014.pdf	http://harvester.census.gov/sgf/f10/	Yes	Yes	Fillable Fileable
Other-Cover Letter			Letter from the Director.docx		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: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 89 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	300	300
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.