Information Collection

Enrollee Survey Round 1 (nonrespondents)

IC 266927 under ICR 202404-0960-002 · OMB 0960-0821.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APPENDIX B - ENROLLEE SURVEY INSTRUMENTS (Round 1).pdf	Other-ENROLLEE SURVEY INSTRUMENTS (R
APPENDIX B - ENROLLEE SURVEY INSTRUMENTS (Round 1).pdf	Other-ENROLLEE SURVEY INSTRUMENTS (R
APPENDIX C - ENROLLEE SURVEY MAILINGS (Round 1).pdf	Other-ENROLLEE SURVEY INSTRUMENTS (R
APPENDIX C - ENROLLEE SURVEY MAILINGS (Round 1).pdf	Other-ENROLLEE SURVEY INSTRUMENTS (R

IC Title:

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-ENROLLEE SURVEY INSTRUMENTS (Round 1).			APPENDIX B - ENROLLEE SURVEY INSTRUMENTS (Round 1).pdf		Yes	Yes	Fillable Fileable
Other-ENROLLEE SURVEY INSTRUMENTS (Round 1)			APPENDIX C - ENROLLEE SURVEY MAILINGS (Round 1).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: 468

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	468	468
Annual IC Time Burden (Hours)	23	23
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.