Information Collection

Flexible Video Proof of Concept Survey

IC 218024 under ICR 201409-0960-007 · OMB 0960-0788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Flexible Video Proof of Concept Survey Documentation.docx	Other-Survey Documentation
Flexible Video Proof of Concept Paper Survey 07 28 15.doc	Other-Survey Questions

IC Title:

Flexible Video Proof of Concept Survey

Agency IC Tracking Number:

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 Questions			Flexible Video Proof of Concept Paper Survey 07 28 15.doc		No		Paper Only
Other-Survey Documentation			Flexible Video Proof of Concept Survey Documentation.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	7	7
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.