NBS General Waves Round 3 Representative Sample

National Beneficiary Survey - NBS General Waves and Semi-Structured Interviews

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0800 can be found here:

Documents and Forms

Document Name Document Type
General Waves Round 3 Rep Sample.pdf Other-survey instrument

Information Collection (IC) Details

IC Title:	NBS General Waves Round 3 Representative Sample	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 instrument			General Waves Round 3 Rep Sample.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	3,000	3,000
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.