Information Collection

b) 20 CFR 411.145 & 411.325 - Requesting Ticket Unassignments

IC 184449 under ICR 201506-0960-011 · OMB 0960-0644.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0644 can be found here:

Documents and Forms

Document Name Document Type
DemoDeck.pptx Other-screens
Secure Provider Portal Screens.pdf Other-screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	b) 20 CFR 411.145 & 411.325 - Requesting Ticket Unassignments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 411.145 20 CFR 411.325

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screens			DemoDeck.pptx		Yes	Yes	Fillable Fileable
Other-screens			Secure Provider Portal Screens.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,494	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,494	2,494
Annual IC Time Burden (Hours)	624	624
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.