Information Collection

POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper

IC 227825 under ICR 202202-0960-009 · OMB 0960-0809.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper	Form and Instruction
POD Monthly Earnings & IRWE Reporting Form 2021 POD Monthly Form.pdf	Form and Instruction
POD Monthly Earnings & IRWE Reporting Form 2021 POD Monthly Form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	N/A	POD Monthly Earnings & IRWE Reporting Form	2021 POD Monthly Form.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: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,000	-15,840	21,840
Annual IC Time Burden (Hours)	4,000	360	3,640
Annual IC Cost Burden (Dollars)	0	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.