Information Collection

12-month follow-up survey

IC 271101 under ICR 202409-0960-011 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B.1 Advance Letter.docx	Other-YTED Advance Letter
Attachment B.1 Advance Letter.docx	Other-YTED Advance Letter
Attachment B.2 Reminder Letter.docx	Other-YTED Reminder Letter
Attachment B.2 Reminder Letter.docx	Other-YTED Reminder Letter
Attachment B.3 Postcard.docx	Other-YTED Postcard
Attachment B.3 Postcard.docx	Other-YTED Postcard
Attachment B.4 Refusal Conversion Letter.docx	Other-YTED Refusal Conversion Letter
Attachment B.4 Refusal Conversion Letter.docx	Other-YTED Refusal Conversion Letter
Attachment B.5 Thank You Letter.docx	Other-YTED Thank You Letter
Attachment B.5 Thank You Letter.docx	Other-YTED Thank You Letter
Attachment B.6 Follow Up Survey.docx	Other-YTED Follow-Up Survey
Attachment B.6 Follow Up Survey.docx	Other-YTED Follow-Up Survey

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	Instrument File	Available Electronically?	Electronic Capability
Other-YTED Advance Letter	Attachment B.1 Advance Letter.docx	No	Paper Only
Other-YTED Reminder Letter	Attachment B.2 Reminder Letter.docx	No	Paper Only
Other-YTED Postcard	Attachment B.3 Postcard.docx	No	Paper Only
Other-YTED Refusal Conversion Letter	Attachment B.4 Refusal Conversion Letter.docx	No	Paper Only
Other-YTED Thank You Letter	Attachment B.5 Thank You Letter.docx	No	Paper Only
Other-YTED Follow-Up Survey	Attachment B.6 Follow Up 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: 560

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	560	560
Annual IC Time Burden (Hours)	187	187
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.