Information Collection

Follow-up Survey (Internet or Telephone)

IC 258842 under ICR 202303-0960-001 · OMB 0960-0833.

Documents and Forms

Document Name Document Type
CJCC Follow-Up Survey.docx Other-CJCC Follow-Up Survey
CJCC Follow-Up Survey.docx Other-CJCC Follow-Up Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-up Survey (Internet or Telephone)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-CJCC Follow-Up Survey			CJCC Follow-Up Survey.docx		Yes	Yes	Fillable Fileable

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: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	126	126
Annual IC Cost Burden (Dollars)	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.