Information Collection

Social Security Express Tablet Satisfaction Survey

IC 219244 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⚠️ Notice: This information collection may be referencing outdated material.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
Social Security Express Tablet - Public Survey.pdf	Other-Satisfaction Survey
Social Security Express Tablet Customer Satisfaction Survey - Documentation.docx Social Security Express Tablet Survey Documenation	IC Document

IC Title:

Social Security Express Tablet Satisfaction 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-Satisfaction Survey			Social Security Express Tablet - Public Survey.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Social Security Express Tablet Survey Documenation	Social Security Express Tablet Customer Satisfaction Survey - Documentation.docx	12/10/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.