Information Collection

36 Month Follow-Up

IC 187898 under ICR 201201-0960-003 · OMB 0960-0687.

Documents and Forms

Document Name Document Type
YTD-36 Month Follow-Up Study.pdf Other-Survey
36-month Pre-notificationLetter.pdf Other-Notification Letter

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	36 Month Follow-Up	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			YTD-36 Month Follow-Up Study.pdf		Yes	Yes	Fillable Fileable
Other-Notification Letter			36-month Pre-notificationLetter.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 949	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	949	585	364
Annual IC Time Burden (Hours)	788	486	302
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.