Information Collection

NBS General Waves Round 2 Successful Workers

IC 211717 under ICR 201405-0960-005 · OMB 0960-0800.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0800 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
General Waves Round 2 Successful Workers.pdf	Other-survey instrument

IC Title:

NBS General Waves Round 2 Successful Workers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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-survey instrument			General Waves Round 2 Successful Workers.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	4,140	4,140
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.