Information Collection

20 CFR 404.2035(d) - Intranet/Field Office Interview

IC 45745 under ICR 202201-0960-008 · OMB 0960-0740.

Documents and Forms

Document Name Document Type
0740 screenshots.pdf Other-Sample in-office screen shots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	20 CFR 404.2035(d) - Intranet/Field Office Interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.2035(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample in-office screen shots			0740 screenshots.pdf		Yes	No	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 579,291	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	579,291	16,872	562,419
Annual IC Time Burden (Hours)	540,672	493,804	46,868
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.