NEW BENEFICIARY FOLLOWUP SURVEY

ICR 199006-0960-004

OMB: 0960-0478

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
115641
Migrated
ICR Details
0960-0478 199006-0960-004
Historical Active 198906-0960-006
SSA
NEW BENEFICIARY FOLLOWUP SURVEY
Revision of a currently approved collection   No
Regular
Approved without change 09/10/1990
Retrieve Notice of Action (NOA) 06/13/1990
This information collection request is approved subject to the following: (1) SSA will use the first 300 responses as an imbedded pretest, paying particular attention to overall nonresponse and item nonresponse. (2) Careful review should be made of responses that require long term recall, i.e., questions about activities since the last beneficiary survey in 1982. (3) Any substantive changes made as a result of the analysis of the pretest findings should be submitted to OMB for review. OMB will review these changes in an expedited manner.
  Inventory as of this Action Requested Previously Approved
09/30/1992 09/30/1992 12/31/1990
8,598 0 1
9,458 0 1
0 0 0

THE INFORMATION GATHERED FROM THE SURVEY WILL BE USED TO ADDRESS THE CHANGING CIRCUMSTANCES OF BENEFICIARIES, FORMER BENEFICIARIES AND SURVIVORS. THE AFFECTED PUBLIC IS COMPRISED OF RESPONDENTS TO THE 198 NEW BENEFICIARY SURVEY, THEIR SURVIVORS AND CERTAIN FORMER DISABILITY BENEFICIARIES WHO HAVE RETURNED TO WORK.

None
None


No

1
IC Title Form No. Form Name
NEW BENEFICIARY FOLLOWUP SURVEY

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,598 1 0 8,597 0 0
Annual Time Burden (Hours) 9,458 1 0 9,457 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/13/1990


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