Information Collection

g) 20 CFR 411.325(f) - Periodic Outcomes Reporting

IC 184463 under ICR 201204-0960-004 · OMB 0960-0644.

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IC Title:	g) 20 CFR 411.325(f) - Periodic Outcomes Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 411.325(f)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,371	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,371	-1,099	2,470
Annual IC Time Burden (Hours)	1,371	-3,569	4,940
Annual IC Cost Burden (Dollars)	0	0	0

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