Information Collection

Internet Sign-Ins

IC 239638 under ICR 202001-0960-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Revised PA Statement.pdf Other-Revised PA Statement
Electronic Access Screens - Revised.pdf Other-Internet Screens
Electronic Access Screens - Current.pdf Electronic Access Screens - Current IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Internet Sign-Ins	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 402 42 CFR 401.45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Revised PA Statement			Revised PA Statement.pdf		Yes	Yes	Fillable Fileable Signable
Other-Internet Screens			Electronic Access Screens - Revised.pdf		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: 53,459,180	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	53,459,180	53,459,180
Annual IC Time Burden (Hours)	890,986	890,986
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Electronic Access Screens - Current	Electronic Access Screens - Current.pdf	01/29/2020

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