Information Collection

2019 60-Month Survey - Parent Interview – Self-Administered Questionnaire

IC 234004 under ICR 201807-0960-018 · OMB 0960-0799.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APPENDIX B - SURVEY INVITATION LETTERS AND REMINDER MAILINGS.docx	Other-Letters and Reminders
APPENDIX C - PARENT ABBREVIATED QUESTIONNAIRE.docx	Other-Parent Survey - Self-Administe

IC Title:

2019 60-Month Survey - Parent Interview â Self-Administered Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-Letters and Reminders					No		Paper Only
Other-Parent Survey - Self-Administered					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	7	7
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.

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