Information Collection

Fiscal Year (FY) 2019 Propective Client Survey, Fiscal Year (FY) 2019 my Social Security Office Vistor Survey

IC 232301 under ICR 201511-0960-010 · OMB 0960-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
my Social Security Account Office Visitor Survey FY19 Correspondence for OMB.docx	Other-FY 19 my Social Security Accou
my Social Security Account Office Visitor Survey FY19 Questionnaires for OMB.docx	Other- Other: FY 19 my Social Securi
Prospective Client Survey Correspondence FY19 for OMB.docx	Other-FY 19 Prospective Client Surve
Prospective Client Survey Questionnaire FY19 for OMB.docx	Other- Other: FY 19 Prospective Clie
Description FY 2019 my Social Security Account Office Visitor Survey (revised).docx Description FY 2019 my Social Security Account Office Visitor Survey (revised)	IC Document
Description FY 2019 Prospective Client Survey (revised).docx Description FY 2019 Prospective Client Survey (revised)	IC Document

IC Title:

Fiscal Year (FY) 2019 Propective Client Survey, Fiscal Year (FY) 2019 my Social Security Office Vistor 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	Instrument File	Available Electronically?	Electronic Capability
Other-FY 19 my Social Security Account Survey Coorespondence	my Social Security Account Office Visitor Survey FY19 Correspondence for OMB.docx	No	Paper Only
Other- Other: FY 19 my Social Security Account Survey Questionnaires	my Social Security Account Office Visitor Survey FY19 Questionnaires for OMB.docx	No	Paper Only
Other-FY 19 Prospective Client Survey Coorespondence	Prospective Client Survey Correspondence FY19 for OMB.docx	No	Paper Only
Other- Other: FY 19 Prospective Client Survey Questionnaire	Prospective Client Survey Questionnaire FY19 for OMB.docx	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	12,500	12,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description FY 2019 my Social Security Account Office Visitor Survey (revised)	Description FY 2019 my Social Security Account Office Visitor Survey (revised).docx	07/26/2018
Description FY 2019 Prospective Client Survey (revised)	Description FY 2019 Prospective Client Survey (revised).docx	07/26/2018

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