Information Collection

In-Person (Intranet) Requestors

IC 197897 under ICR 201903-0960-004 · OMB 0960-0789.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0789 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RCS Internet Screens (revised).pdf	Other-Intranet Screens
RCS Privacy Act Staement (revised).docx	Other-Privacy Act Statement (revised
RCS Screens (current).pdf RCS Screens (current)	IC Document

IC Title:

In-Person (Intranet) Requestors

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.45 20 CFR 402

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-Intranet Screens			RCS Internet Screens (revised).pdf		Yes	Yes	Fillable Fileable Signable
Other-Privacy Act Statement (revised) 0789			RCS Privacy Act Staement (revised).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,366,974

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	Previously Approved
Annual Number of Responses for this IC	3,366,974	3,366,974
Annual IC Time Burden (Hours)	448,930	448,930
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RCS Screens (current)	RCS Screens (current).pdf	03/22/2019

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