National Disability Forum and Surveys (NDF)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
NDF Sample Registration Form.docx www.ssa.gov/ndf Other-Internet Registration Form
NDF Sample Evaluation Questionnaire.docx www.ssa.gov/ndf Other-Internet Evaluation Questionna
Description of the National Disability Forum and Surveys.docx Description of the National Disability Forum and Surveys IC Document
NDF Moderator and Panelist Samples.docx Sample NDF Moderators and Panelists IC Document

Information Collection (IC) Details

IC Title:	National Disability Forum and Surveys (NDF)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Registration Form			NDF Sample Registration Form.docx	https://www.ssa.gov/ndf	Yes	Yes	Fillable Fileable Signable
Other-Internet Evaluation Questionnaire			NDF Sample Evaluation Questionnaire.docx	https://www.ssa.gov/ndf	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: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Description of the National Disability Forum and Surveys	Description of the National Disability Forum and Surveys.docx	03/10/2017
Sample NDF Moderators and Panelists	NDF Moderator and Panelist Samples.docx	03/10/2017

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