Information Collection

eCBSV Enrollment Process

IC 240655 under ICR 202003-0960-002 · OMB 0960-0817.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0817 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form eCBSV User Agreeme eCBSV Enrollment Process	Form and Instruction
eCBSV Webpage Content.pdf	Other-eCBSV Webpage Content
eCBSV User Agreeme eCBSV User Agreement eCBSV User Agreement Clean Version FINAL (7-1-2020).docx	Form and Instruction

IC Title:

eCBSV Enrollment Process

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 401.100

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
Form and Instruction	eCBSV User Agreement	eCBSV User Agreement	eCBSV User Agreement Clean Version FINAL (7-1-2020).docx		Yes	Yes	Fillable Fileable Signable
Other-eCBSV Webpage Content			eCBSV Webpage Content.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: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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