Stage 1 36-month Survey

Benefit Offset National Demonstration (BOND) Project

Documents and Forms

Document Name Document Type
BOND - Stage 1- 36 Month Follow-up Survey - Revised Version.pdf Other-Survey
BOND Stage 1 36-Month Follow-up Survey - current version.pdf Current Stage 1 36-Month Survey IC Document

Information Collection (IC) Details

IC Title:	Stage 1 36-month Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			BOND - Stage 1- 36 Month Follow-up Survey - Revised Version.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	6,533	6,533
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current Stage 1 36-Month Survey	BOND Stage 1 36-Month Follow-up Survey - current version.pdf	01/15/2014

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