Information Collection

Fidelity Assessment Participant Interview

IC 226129 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⚠️ Notice: This information collection may be referencing outdated material.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 L-S (05-03-2017).pdf	Other-Fidelity Assessment Interview

IC Title:

Fidelity Assessment Participant Interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-Fidelity Assessment Interview			SED Attachments L-S (05-03-2017).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180

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	720	720
Annual IC Time Burden (Hours)	720	720
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.