Information Collection

Initial Enrollment Survey (Paper)

IC 258841 under ICR 202303-0960-001 · OMB 0960-0833.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0833 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CJCC Initial Enrollment Survey.docx	Other-CJCC Initial Enrollment Survey
CJCC Initial Enrollment Survey.docx	Other-CJCC Initial Enrollment Survey

IC Title:

Initial Enrollment Survey (Paper)

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-CJCC Initial Enrollment Survey			CJCC Initial Enrollment Survey.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: 90

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	90	90
Annual IC Time Burden (Hours)	29	29
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.