Information Collection

Consultative Examination Satisfaction Survey

IC 237129 under ICR 201909-0960-006 · OMB 0960-0788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Consultative Examination Survey.docx	Other-Consultative Examination Satis
Decription of Consultative Examination Survey.docx Description of Consultative Examination Satisfaction Survey	IC Document

IC Title:

Consultative Examination Satisfaction Survey

Agency IC Tracking Number:

IC Status: Unchanged

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-Consultative Examination Satisfaction Survey			Consultative Examination Survey.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,444,404

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,444,404	1,444,404
Annual IC Time Burden (Hours)	361,101	361,101
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description of Consultative Examination Satisfaction Survey	Decription of Consultative Examination Survey.docx	07/29/2019

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