Information Collection

Ticket to Work (TTW) Outreach Effectiveness Survey

IC 212165 under ICR 201206-0960-002 · OMB 0960-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Document Name Document Type
Survey Instrument with Correspondence.pdf Other-survey
Survey Description - TTW Outreach Effectiveness Survey 2014.doc Survey Description - TTW Outreach Effectiveness Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Ticket to Work (TTW) Outreach Effectiveness Survey	Agency IC Tracking Number:

IC Status: New

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			Survey Instrument with Correspondence.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 35 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	1,167	1,167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Survey Description - TTW Outreach Effectiveness Survey	Survey Description - TTW Outreach Effectiveness Survey 2014.doc	06/30/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.