Information Collection

Survey 1 Competency Screening

IC 245828 under ICR 202102-0960-005 · OMB 0960-0823.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A1. Survey 1 and 2 Classification Questions.pdf	Other-Survey 1 and 2 Classification
Attachment A9. Survey 1 Screener and Callback Script.pdf	Other-Screener and Callback Script
Attachment A13. Survey 2 Screener and Callback Script.pdf	Other-Screener and Callback Script

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey 1 and 2 Classification Questions	Attachment A1. Survey 1 and 2 Classification Questions.pdf	Yes	Yes	Fillable Fileable
Other-Screener and Callback Script	Attachment A9. Survey 1 Screener and Callback Script.pdf	Yes	No	Paper Only
Other-Screener and Callback Script	Attachment A13. Survey 2 Screener and Callback Script.pdf	Yes	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	375	375
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.