Information Collection

Rating Federal Retirement Program

IC 229910 under ICR 202009-3206-001 · OMB 3206-0236.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.