Information Collection

Appointed Representatives - Availability Changes

IC 202015 under ICR 201204-0960-015 · OMB 0960-0797.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0797 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
External Automated Scheduling Screen Flows.pdf	Other-Internet Screens
Internal Automated Scheduling Screen Flows.pdf	Other-Intranet Screens

IC Title:

Appointed Representatives - Availability Changes

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.950 20 CFR 416.1429 20 CFR 416.1436 20 CFR 416.1450-416.1451 20 CFR 404.929 20 CFR 404.936

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-Internet Screens					Yes	Yes	Fillable Fileable Signable
Other-Intranet Screens					Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16,600

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	99,600	99,600
Annual IC Time Burden (Hours)	13,280	13,280
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.

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