Information Collection

Telephone Surveys & Web-Based Surveys

IC 250581 under ICR 202111-0960-011 · OMB 0960-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Category B Telephone Questionnaire Sample.docx	Other-Telephone Questionnair Sample
Category B Telephone Questionnaire Sample.docx	Other-Telephone Questionnair Sample
Category C Mail, Internet, Telphone Sample.docx	Other-Mail,Internet, Telephone Sampl
Category C Mail, Internet, Telphone Sample.docx	Other-Mail,Internet, Telephone Sampl

IC Title:

Telephone Surveys & Web-Based Surveys

Agency IC Tracking Number:

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-Telephone Questionnair Sample			Category B Telephone Questionnaire Sample.docx		No		Paper Only
Other-Mail,Internet, Telephone Sample			Category C Mail, Internet, Telphone Sample.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 96,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	96,000	96,000
Annual IC Time Burden (Hours)	16,000	16,000
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.