Information Collection

TTW Provider Survey

IC 278835 under ICR 202601-0960-006 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A1a -EN-VR Provider Invitation Letter Packet (Week 1).docx	Other-Invitation Letter Packet (Week
Attachment A1a -EN-VR Provider Invitation Letter Packet (Week 1).docx	Other-Invitation Letter Packet (Week
Attachment A1b - EN-VR Provider Survey Invitation Email (Week 1.5).docx	Other-Survey Invitaton Email (Week 1
Attachment A1b - EN-VR Provider Survey Invitation Email (Week 1.5).docx	Other-Survey Invitaton Email (Week 1
Attachment A1c - EN-VR Provider Survey Reminder Email (Week 3).docx	Other-Survey Reminder Email (Week 3)
Attachment A1c - EN-VR Provider Survey Reminder Email (Week 3).docx	Other-Survey Reminder Email (Week 3)
Attachment A1d -EN-VR Provider Survey Reminder Email (Week 4.5).docx	Other-Survey Reminder Email (Week 4.
Attachment A1d -EN-VR Provider Survey Reminder Email (Week 4.5).docx	Other-Survey Reminder Email (Week 4.
Attachment A1e - EN-VR Provider Survey Reminder Email (Week 6).docx	Other-Survey Reminder Email (Week 6)
Attachment A1e - EN-VR Provider Survey Reminder Email (Week 6).docx	Other-Survey Reminder Email (Week 6)
Attachment A1f - EN-VR Provider Survey Reminder Email (Week 7.5).docx	Other-Survey Reminder Email (Week 7.
Attachment A1f - EN-VR Provider Survey Reminder Email (Week 7.5).docx	Other-Survey Reminder Email (Week 7.
Attachment A1g - EN-VR Provider Survey Instrument.docx	Other-Survey Instrument
Attachment A1g - EN-VR Provider Survey Instrument (Revised Clean Copy).docx	Other-Survey Instrument

IC Title:

TTW Provider Survey

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Invitation Letter Packet (Week 1)	Yes	No	Printable Only
Other-Survey Invitaton Email (Week 1.5)	Yes	No	Printable Only
Other-Survey Reminder Email (Week 3)	Yes	No	Printable Only
Other-Survey Reminder Email (Week 4.5)	Yes	No	Printable Only
Other-Survey Reminder Email (Week 6)	Yes	No	Printable Only
Other-Survey Reminder Email (Week 7.5)	Yes	No	Printable Only
Other-Survey Instrument	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 353

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	353	353
Annual IC Time Burden (Hours)	224	224
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.

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