Information Collection

Pre-Test/Pre-Survey

IC 220100 under ICR 201412-1210-007 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Pre-Survey Pre-Survey Pre-Test/Pre-Survey	Form and Instruction
Appendix 16 - Road to Retirement 4_10_2017.docx	Instruction
Pre-Survey Pre-Survey Appendix 7 - Road to Retirement 4_10_2017.docx	Form and Instruction

IC Title:

Pre-Test/Pre-Survey

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
Form and Instruction	Pre-Survey				No		Paper Only
Instruction					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,463

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 3 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,463	3,463
Annual IC Time Burden (Hours)	1,489	1,489
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.

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