Information Collection

Social Security Statement Focus Groups

IC 238694 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Focus Group Discussion Guide.docx Other-Focus Group Discussion Guide
SSA Focus Group Screener.docx Other-Focus Group Screener
Description of Social Security Statement Focus Group Survey.docx Description of Social Security Statement Focus Groups IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Social Security Statement Focus Groups	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group Discussion Guide			Focus Group Discussion Guide.docx		No		Paper Only
Other-Focus Group Screener			SSA Focus Group Screener.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: 32	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	32	32
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Description of Social Security Statement Focus Groups	Description of Social Security Statement Focus Group Survey.docx	11/25/2019

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