Information Collection

20 CFR 404.1204 Designating Officials to Act on Behalf of the State

IC 187829 under ICR 202411-0960-010 · OMB 0960-0425.

Documents and Forms

Document Name Document Type
Original Agreement Example.pdf Other-Original Agrement Example

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	20 CFR 404.1204 Designating Officials to Act on Behalf of the State	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 404.1204

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Original Agrement Example			Original Agreement Example.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: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	26	26
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.