Information Collection

Survey 1 (respondents)

IC 247265 under ICR 202102-0960-005 · OMB 0960-0823.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A2. Survey 1 and 2 VR-12.pdf	Other-Survey 1 VR-12
Attachment A2. Survey 1 and 2 VR-12.pdf	Other-Survey 1 VR-12
Attachment A3. Survey 1 and 2 WD-FAB items.pdf	Other-WD-FAB Items
Attachment A3. Survey 1 and 2 WD-FAB items.pdf	Other-WD-FAB Items
Attachment A4. Survey 1 Follow-up Questions.pdf	Other-Follow-up Questions
Attachment A4. Survey 1 Follow-up Questions.pdf	Other-Follow-up Questions
Attachment A5. Survey 2 Follow-up Questions.pdf	Other-Survey 2 Follow-up Questions
Attachment A5. Survey 2 Follow-up Questions.pdf	Other-Survey 2 Follow-up Questions
Attachment A6. Study Invitation Letter.pdf	Other-Study Invitation Letter
Attachment A6. Study Invitation Letter.pdf	Other-Study Invitation Letter
Attachment A7. Research Consent Form.pdf	Other-Research Consent Form
Attachment A7. Research Consent Form.pdf	Other-Research Consent Form
Attachment A8. Study App Download Instructions.pdf	Other-Study App Download Instruction
Attachment A8. Study App Download Instructions.pdf	Other-Study App Download Instruction
Attachment A10. Text Message Reminders.pdf	Other-Text Message Reminders
Attachment A10. Text Message Reminders.pdf	Other-Text Message Reminders
Attachment A11. Survey 1 and 2 Initial Emails.pdf	Other-Inital Emails
Attachment A11. Survey 1 and 2 Initial Emails.pdf	Other-Inital Emails
Attachment A12. Survey 1 and 2 Reminder Emails.pdf	Other-Reminder Emails
Attachment A12. Survey 1 and 2 Reminder Emails.pdf	Other-Reminder Emails
Attachment A14. Study App Push Notifications.pdf	Other-Study App Push Notification
Attachment A14. Study App Push Notifications.pdf	Other-Study App Push Notification

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Survey 1 (respondents)

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey 1 VR-12	Yes	Yes	Fillable Fileable
Other-WD-FAB Items	Yes	Yes	Fillable Fileable
Other-Follow-up Questions	Yes	Yes	Fillable Fileable
Other-Survey 2 Follow-up Questions	Yes	Yes	Fillable Fileable
Other-Study Invitation Letter	No		Paper Only
Other-Research Consent Form	Yes	Yes	Fillable Fileable
Other-Study App Download Instructions	Yes	No	Fillable Printable
Other-Text Message Reminders	Yes	No	Paper Only
Other-Inital Emails	Yes	Yes	Fillable Fileable
Other-Reminder Emails	Yes	No	Paper Only
Other-Study App Push Notification	Yes	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	3,333	3,333
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.

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