Information Collection

20 CFR 416.635(d) - Intranet/Field office interview

IC 191380 under ICR 201210-0960-001 · OMB 0960-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0740 can be found here:

Documents and Forms

Document Name Document Type
sample screen shots.pdf Other-Sample in-office screen shots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	20 CFR 416.635(d) - Intranet/Field office interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.635(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample in-office screen shots			sample screen shots.pdf		Yes	No	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 285,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	285,000	0	285,000
Annual IC Time Burden (Hours)	23,750	95	23,655
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.