Information Collection

POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper

IC 227825 under ICR 201805-0960-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper	Form and Instruction
POD Monthly Earnings & IRWE Reporting Form POD IRWE Monthly Reporting Form - Revised.pdf	Form and Instruction
POD IRWE Monthly Reporting Form.pdf Current IRWE Monthly Reporting Form	IC Document

IC Title:

POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	N/A	POD Monthly Earnings & IRWE Reporting Form	POD IRWE Monthly Reporting Form - Revised.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: 1,820

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	21,840	21,840
Annual IC Time Burden (Hours)	3,640	3,640
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current IRWE Monthly Reporting Form	POD IRWE Monthly Reporting Form.pdf	05/14/2018

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