Information Collection

Survey 1 (non-respondents)

IC 247275 under ICR 202102-0960-005 · OMB 0960-0823.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B1. Survey 1 Web Nonresponders Follow-up Script.pdf	Other-Follow-up Script
Attachment B2. Survey 2 Web Nonresponders Follow-Up Script.pdf	Other-Follow-up 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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Follow-up Script			Attachment B1. Survey 1 Web Nonresponders Follow-up Script.pdf		No		Paper Only
Other-Follow-up Script			Attachment B2. Survey 2 Web Nonresponders Follow-Up Script.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,600

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	1,600	1,600
Annual IC Time Burden (Hours)	53	53
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.