Baseline Survey

Benefit Offset National Demonstration (BOND) Project

OMB: 0960-0785

IC ID: 193739

Documents and Forms
Document Name
Document Type
Other-Survey
Information Collection (IC) Details

View Information Collection (IC)

Baseline Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey BOND Stage 2 Baseline Survey.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

12,954 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 12,954 0 0 354 0 12,600
Annual IC Time Burden (Hours) 8,852 0 0 242 0 8,610
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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