OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Fiscal Year (FY) 2021 Prospective Client Survey and FY 21 National Disability Forum

IC 243588 under ICR 201810-0960-002 · OMB 0960-0526.

Documents and Forms
Document Name
Document Type
Other-PCS Questionnaire
Other-Prospective Client Survey Sche
Other-Registration Template Sample F
Other-NDF Facilitator and Panelist F
Other-Disability Forum Evaluation Fo
Other-Sample Engage SSA for NDF FY 2
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Fiscal Year (FY) 2021 Prospective Client Survey and FY 21 National Disability Forum
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-PCS Questionnaire FY 2021 PCS Questionnaire.docx No   Paper Only
Other-Prospective Client Survey Schedule FY 2021 Prospective Client Survey Schedule.docx No   Paper Only
Other-Registration Template Sample FY 21 Sample 2 - Registration Template - NDF.docx Yes Yes Fillable Fileable Signable
Other-NDF Facilitator and Panelist FY 21 Sample 3 - NDF Facilitator and Panelist.docx No   Paper Only
Other-Disability Forum Evaluation Form FY 21 Sample 4 - Disability Forum Evaluation Form.docx Yes Yes Fillable Fileable Signable
Other-Sample Engage SSA for NDF FY 21 Sample 5 - Engage SSA for NDF.docx Yes No Fillable Printable

Income Security General Retirement and Disability

 

10,900 0
   
Individuals or Households
 
   83 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10,900 0 10,900 0 0 0
Annual IC Time Burden (Hours) 35,425 0 35,425 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Description of Fiscal Year (FY) 2021 Prospective Client Survey Description FY 2021 Prospective Client Survey.docx 09/24/2020
Description of National Disability Forum FY 2021 Description of National Disability Forum FY 2021.docx 09/24/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.