Information Collection

Cancellation of Agreement

IC 198245 under ICR 202407-0960-001 · OMB 0960-0760.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0760 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CBSV User Agreement - Revised.docx	Instruction
CBSV User Agreement - Revised.docx	Instruction
CBSV User Agreement - Current Version.docx CBSV User Agreement - Current	IC Document
CBSV User Agreement - Current Version.docx CBSV User Agreement - Current	IC Document

IC Title:

Cancellation of Agreement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Instruction			CBSV User Agreement - Revised.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: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CBSV User Agreement - Current	CBSV User Agreement - Current Version.docx	07/08/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.