Information Collection

20 CFR 404.2035(f) - Intranet/Field office interview

IC 45746 under ICR 201508-0960-006 · OMB 0960-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0740 can be found here:

Documents and Forms

Document Name Document Type
0740 screenshots (revised).doc Other-Sample in-office screen shots
sample screen shots.pdf Sample in-office screens (current) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	20 CFR 404.2035(f) - Intranet/Field office interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.2035(f)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample in-office screen shots			0740 screenshots (revised).doc		Yes	No	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,434	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,434	209	5,225
Annual IC Time Burden (Hours)	453	18	435
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Sample in-office screens (current)	sample screen shots.pdf	11/18/2015

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