Information Collection

12-month Follow-up Survey

IC 258378 under ICR 202603-0960-004 · OMB 0960-0829.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B.6. VRFD Follow-up Survey (Revised).docx	Other-Appendix B.6. Follow-up Survey
Appendix B.6. VRFD Follow-up Survey (Revised).docx	Other-Appendix B.6. Follow-up Survey
Appendix B.1. VRFD Advance -(Revised).docx	Other-Appendix B.1.VRFD Advance Noti
Appendix B.1. VRFD Advance -(Revised).docx	Other-Appendix B.1.VRFD Advance Noti
Appendix B.2. VRFD Reminder Letter - (Revised).docx	Other-Appendix B.2. VRFD Reminder Le
Appendix B.2. VRFD Reminder Letter - (Revised).docx	Other-Appendix B.2. VRFD Reminder Le
Appendix B.7. Informed Consent - (Revised).docx	Other-Appendix B.7. Informed Consent
Appendix B.7. Informed Consent - (Revised).docx	Other-Appendix B.7. Informed Consent
Revised PRA Statement.docx	Other-Revised PRA Statement
Revised PRA Statement.docx	Other-Revised PRA Statement
Appendix B.1. VRFD Advance -(Current).docx Appendix B.1. VRFD Advance (Current)	IC Document
Appendix B.1. VRFD Advance -(Current).docx Appendix B.1. VRFD Advance (Current)	IC Document
Appendix B.2. VRFD Reminder Letter- (Current).docx Appendix B.2. VRFD Reminder Letter (Current)	IC Document
Appendix B.2. VRFD Reminder Letter- (Current).docx Appendix B.2. VRFD Reminder Letter (Current)	IC Document
Appendix B.7. Informed Consent -(Current).docx Appendix B.7. Informed Consent (Current)	IC Document
Appendix B.7. Informed Consent -(Current).docx Appendix B.7. Informed Consent (Current)	IC Document
Appendix B.3. VRFD Postcard Reminder Text.docx Appendix B.3. VRFD Postcard Reminder	IC Document
Appendix B.3. VRFD Postcard Reminder Text.docx Appendix B.3. VRFD Postcard Reminder	IC Document
Appendix B.6. VRFD Follow-up Survey.docx Appendix B.6. VRFD Follow-up Survey	IC Document
Appendix B.6. VRFD Follow-up Survey.docx Appendix B.6. VRFD Follow-up Survey	IC Document
Appendix B.4. VRFD Thank you Incentive Letter.docx B.4. Thank You Incentive Letter	IC Document
Appendix B.4. VRFD Thank you Incentive Letter.docx B.4. Thank You Incentive Letter	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

12-month Follow-up Survey

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B.6. Follow-up Survey - Revised	Yes	Yes	Fillable Fileable
Other-Appendix B.1.VRFD Advance Notice (Revised)	Yes	Yes	Fillable Fileable
Other-Appendix B.2. VRFD Reminder Letter (Revied)	Yes	No	Fillable Printable
Other-Appendix B.7. Informed Consent (Revised)	No		Paper Only
Other-Revised PRA Statement	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90	-310	400
Annual IC Time Burden (Hours)	38	-489	527
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix B.1. VRFD Advance (Current)		05/22/2026
Appendix B.2. VRFD Reminder Letter (Current)		05/22/2026
Appendix B.7. Informed Consent (Current)		05/22/2026
Appendix B.3. VRFD Postcard Reminder		05/22/2026
Appendix B.6. VRFD Follow-up Survey		05/22/2026
B.4. Thank You Incentive Letter		05/22/2026

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

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