Information Collection

Pension Servicing Survey

IC 220585 under ICR 201606-2900-003 · OMB 2900-0782.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
VBA_Pension_Servicing questionnaire_Revised for FY17_Clean_07.12.16.docx	Other-Survey Instrument
VA_CL8_234332_PenServ_06.22.16.pdf	Other-Cover Letter
VA_Surv8_PensSvc_5.26.16 .pdf	Other-Mail Survey Instrument

IC Title:

Agency IC Tracking Number:

2900-0782-VBA-BAS

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey Instrument	VBA_Pension_Servicing questionnaire_Revised for FY17_Clean_07.12.16.docx	No	Paper Only
Other-Cover Letter	VA_CL8_234332_PenServ_06.22.16.pdf	No	Paper Only
Other-Mail Survey Instrument	VA_Surv8_PensSvc_5.26.16 .pdf	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

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	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
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.