Information Collection

2020 030 SSA Feedback Survey July 2020

IC 243818 under ICR 201805-1090-003 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 030 2020 030 SSA Feedback Survey July 2020	Form and Instruction
030 2020 030 SSA Feedback Survey July 2020 2020 030 SSA Feedback Survey July 2020.docx	Form and Instruction
FORESEE2_1090-0008 Generic Clearance Request Form SSA Feedback_DE_Signed.pdf FORESEE2_1090-0008 Generic Clearance Request Form SSA Feedback_DE_Signed	IC Document
1090-0008 Survey Mapping Document SSA Feedback July 20.docx 1090-0008 Survey Mapping Document SSA Feedback July 20	IC Document

IC Title:

2020 030 SSA Feedback Survey July 2020

Agency IC Tracking Number:

030

IC Status: New

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
Form and Instruction	030	2020 030 SSA Feedback Survey July 2020	2020 030 SSA Feedback Survey July 2020.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FORESEE2_1090-0008 Generic Clearance Request Form SSA Feedback_DE_Signed	FORESEE2_1090-0008 Generic Clearance Request Form SSA Feedback_DE_Signed.pdf	09/29/2020
1090-0008 Survey Mapping Document SSA Feedback July 20	1090-0008 Survey Mapping Document SSA Feedback July 20.docx	09/29/2020

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