Information Collection

20 CFR 404.2035(f) - Intranet/Field office interview

IC 45746 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
sample screen shots.pdf	Other-Sample in-office screen shots

IC Title:

20 CFR 404.2035(f) - 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 404.2035(f)

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-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: 5,225

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,225	0	5,225
Annual IC Time Burden (Hours)	435	1	434
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.