Information Collection

Beneficiaries

IC 184626 under ICR 202103-0990-004 · OMB 0990-0330.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0330 can be found here:

2024-04-19 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C1. Introductory Letter (English).docx	Other-letter
Appendix C1. Introductory Letter (English).docx	Other-letter
Appendix C2. Introductory Letter (Spanish).docx	Other-letter
Appendix C2. Introductory Letter (Spanish).docx	Other-letter
Appendix C3 Telephone Survey Introduction Script (English).docx	Other-survey
Appendix C3 Telephone Survey Introduction Script (English).docx	Other-survey
Appendix C5 Reminder Voicemail Script (English).docx	Other-script
Appendix C5 Reminder Voicemail Script (English).docx	Other-script
Appendix C6 Reminder Voicemail Script (Spanish).docx	Other-script
Appendix C6 Reminder Voicemail Script (Spanish).docx	Other-script
Appendix C4 Telephone Survey Introduction Script (Spanish).docx	Other-script
Appendix C4 Telephone Survey Introduction Script (Spanish).docx	Other-script
Appendix C7. Reminder Letter with Mail Survey (English).docx	Other-survey
Appendix C7. Reminder Letter with Mail Survey (English).docx	Other-survey
Appendix C8. Reminder Letter with Paper Questionnaire (Spanish).docx	Other-survey
Appendix C8. Reminder Letter with Paper Questionnaire (Spanish).docx	Other-survey
60-dayFederal Register, Volume 82 Issue 187 (Thursday, September 28, 2017).htm 60-day	IC Document
60-dayFederal Register, Volume 82 Issue 187 (Thursday, September 28, 2017).htm 60-day	IC Document
30-day Federal Register, Volume 82 Issue 247 (Wednesday, December 27, 2017).htm 30day	IC Document
30-day Federal Register, Volume 82 Issue 247 (Wednesday, December 27, 2017).htm 30day	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Beneficiaries

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Electronic Capability
Other-letter	No	Paper Only
Other-letter	No	Paper Only
Other-survey	No	Paper Only
Other-script	No	Paper Only
Other-script	No	Paper Only
Other-script	No	Paper Only
Other-survey	No	Fillable Fileable
Other-survey	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	400	200	200
Annual IC Time Burden (Hours)	100	50	50
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
60-day		01/26/2018
30day		01/26/2018

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

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