Information Collection

Retirement Applicant Survey (FY 22)

IC 250583 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⚠️ Notice: This information collection may be referencing outdated material.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
Retirement Applicant Questionnaire.docx	Other-Retirement Applicant Questionn
Retirement Applicant Questionnaire.docx	Other-Retirement Applicant Questionn
Retirement Applicant Survey Correspondence.docx	Other-Retirement Applicant Survey Co
Retirement Applicant Survey Correspondence.docx	Other-Retirement Applicant Survey Co

IC Title:

Retirement Applicant Survey (FY 22)

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-Retirement Applicant Questionnaire			Retirement Applicant Questionnaire.docx		No		Paper Only
Other-Retirement Applicant Survey Correspondence			Retirement Applicant Survey Correspondence.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: 192

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	192	192
Annual IC Time Burden (Hours)	288	288
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.