Information Collection

Competency and CIDI Screener

IC 226125 under ICR 201805-0960-004 · OMB 0960-0806.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0806 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SED Attachments J3-K (05-03-2017).pdf	Other-CIDI Screener
SED Attachment J2 (05-03-17).xlsx	Other-Additional screener questions

IC Title:

Competency and CIDI Screener

Agency IC Tracking Number:

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-CIDI Screener			SED Attachments J3-K (05-03-2017).pdf		No		Paper Only
Other-Additional screener questions			SED Attachment J2 (05-03-17).xlsx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,100

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,100	-1,900	3,000
Annual IC Time Burden (Hours)	1,375	-625	2,000
Annual IC Cost Burden (Dollars)	0	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.