Rating Federal Retirement Program

Customer Satisfaction Surveys

Documents and Forms

Document Name Document Type
Form CSS5 Rating Federal Retirement Program Form
CSS5 Rating Federal Retirement FED Retire.bmp Form
FED Retire_PAS.docx FED Retire Survey_PAS IC Document
Supporting Statement B_Retiree.doc Supporting Statement B IC Document

Information Collection (IC) Details

IC Title:	Rating Federal Retirement Program	Agency IC Tracking Number:

IC Status: Unchanged

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
Form	CSS5	Rating Federal Retirement	FED Retire.bmp		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	8,700	8,700
Annual IC Time Burden (Hours)	290	290
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FED Retire Survey_PAS	FED Retire_PAS.docx	01/30/2018
Supporting Statement B	Supporting Statement B_Retiree.doc	01/30/2018

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