Information Collection

12-month Follow-up Survey

IC 258378 under ICR 202212-0960-001 · OMB 0960-0829.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0829 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
VRFD 12-Month Follow-up Survey.pdf	Other-VFRD 12- Month Follow-Up Surve
VRFD 12-Month Follow-up Survey.pdf	Other-VFRD 12- Month Follow-Up Surve
VRFD Advance Notice.pdf	Other-VRFD Advance Notice
VRFD Advance Notice.pdf	Other-VRFD Advance Notice
VRFD Postcard Reminder Text.pdf	Other-VFRD Survey Reminder Postcard
VRFD Postcard Reminder Text.pdf	Other-VFRD Survey Reminder Postcard
VRFD Reminder Notice.pdf	Other-VFRD Reminder Notice
VRFD Reminder Notice.pdf	Other-VFRD Reminder Notice
VRFD Thank you Incentive Letter.pdf	Other-VRFD Thank you incentive lette
VRFD Thank you Incentive Letter.pdf	Other-VRFD Thank you incentive lette

IC Title:

12-month Follow-up Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-VFRD 12- Month Follow-Up Survey	Yes	Yes	Fillable Fileable
Other-VRFD Advance Notice	Yes	Yes	Fillable Fileable
Other-VFRD Survey Reminder Postcard Notice	Yes	No	Fillable Printable
Other-VFRD Reminder Notice	Yes	No	Fillable Printable
Other-VRFD Thank you incentive letter	No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	527	527
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.

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