Disability Perceptions Survey Pretest

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

⚠️ Notice: This information collection may be referencing outdated material.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
Disability Perceptions Survey.docx Other-Disability Perceptions Survey
DPS invitation and reminder scripts.docx Other-DPS Invitation and Reminder Sc
Description of Disability Perceptions Survey.docx Description of Disability Perceptions Survey IC Document

Information Collection (IC) Details

IC Title:	Disability Perceptions Survey Pretest	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-Disability Perceptions Survey			Disability Perceptions Survey.docx		Yes	Yes	Fillable Fileable Signable
Other-DPS Invitation and Reminder Scripts			DPS invitation and reminder scripts.docx		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: 250	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	250	250
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Description of Disability Perceptions Survey	Description of Disability Perceptions Survey.docx	12/08/2020

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