Stage 2 36-month Survey

Benefit Offset National Demonstration (BOND) Project

Documents and Forms

Document Name Document Type
BOND Stage 2 36 Month Follow-up Survey - Revised Version.pdf Other-Survey
BOND Stage 2 36-Month Follow-up Survey - Current Version.pdf Current Stage 2 36-month Survey IC Document

Information Collection (IC) Details

IC Title:	Stage 2 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 2 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: 10,363	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,363	283	10,080
Annual IC Time Burden (Hours)	10,363	283	10,080
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current Stage 2 36-month Survey	BOND Stage 2 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.