OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Successful Worker Sample Web-based Experiment

IC 254367 under ICR 202206-0960-011 · OMB 0960-0827.

Documents and Forms
Document Name
Document Type
Other-Web-Based NBS
Other-Web-Based NBS
Other-Representative Beneficiary and
Other-Representative Beneficiary and
Other-Respondnet Coorespondence
Other-Respondnet Coorespondence
Other-Confidentiality Pledge
Other-Confidentiality Pledge
Information Collection (IC) Details

View Information Collection (IC)

Successful Worker Sample Web-based Experiment
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Web-Based NBS Attachment B - Web-Based NBS Instrument for Experiment.pdf Yes Yes Fillable Fileable
Other-Representative Beneficiary and Successful Worker Combined Questionnaire Attachment A - NBS Round 8 Instrument.pdf No   Paper Only
Other-Respondnet Coorespondence Attachment D - Respondent Correspondence.pdf No   Printable Only
Other-Confidentiality Pledge Attachment E - Confidentiality Pledge.pdf No   Printable Only

Income Security General Retirement and Disability

 

125 0
   
Federal Government
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 125 0 125 0 0 0
Annual IC Time Burden (Hours) 52 0 52 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.