Appointed Representatives - Availability Changes

Automated Scheduling Application (ASA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0797 can be found here:

Documents and Forms

Document Name Document Type
External Automated Scheduling Screen Flows.pdf Other-Internet Screens
Internal Automated Scheduling Screen Flows.pdf Other-Intranet Screens

Information Collection (IC) Details

IC Title:	Appointed Representatives - Availability Changes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.950 20 CFR 416.1429 20 CFR 416.1436 20 CFR 416.1450-416.1451 20 CFR 404.929 20 CFR 404.936

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			External Automated Scheduling Screen Flows.pdf		Yes	Yes	Fillable Fileable Signable
Other-Intranet Screens			Internal Automated Scheduling Screen Flows.pdf		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: 16,600	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	99,600	99,600
Annual IC Time Burden (Hours)	13,280	13,280
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.