Information Collection

Ticketholder: Ticket to Work Non-User - Qualitative Interviews

IC 278845 under ICR 202604-0960-002 · OMB 0960-0847.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B1b - Qualitative Outreach to Non-Participants.docx	Other-Cover Letter
Attachment B2 - Qualitative Interview Topics.docx	Other-Qualitative Interview Topics

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Other-Cover Letter					Yes	No	Printable Only
Other-Qualitative Interview Topics					Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	7	7
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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