Information Collection

36 Month Follow-Up

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
YTD-36 Month Follow-Up Study.pdf	Other-Survey
36-month Pre-notificationLetter.pdf	Other-Notification Letter

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:

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			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 %

table that charts list of burden
	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

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.