Fast Track Template Blank

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

OMB: 0960-0788

IC ID: 227442

Documents and Forms
Document Name
Document Type
Other-Generic Clearance Blank Templa
Information Collection (IC) Details

View Information Collection (IC)

Fast Track Template Blank
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Generic Clearance Blank Template Draft Generic Clearance Submission BLANK Template.docx No   Paper Only

Income Security General Retirement and Disability

 

68,549 0
   
Individuals or Households
 
   50 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 68,549 0 0 0 0 68,549
Annual IC Time Burden (Hours) 12,853 0 0 0 0 12,853
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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