Information Collection

POD End of Year (EOYR) Form - Online

IC 227828 under ICR 201704-0960-007 · OMB 0960-0809.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0809 can be found here:

Documents and Forms

Document Name Document Type
POD End of Year (EOYR) Form - Online Form and Instruction
POD End of Year Reporting Form POD End of Year Reporting Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	POD End of Year (EOYR) Form - Online	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	POD End of Year Reporting Form	POD End of Year Reporting Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 405	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	405	405
Annual IC Time Burden (Hours)	68	68
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.