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Focus Groups
Focus Groups and Survey Regarding Pension Benefit Statements
OMB: 1210-0151
IC ID: 207087
OMB.report
DOL/EBSA
OMB 1210-0151
ICR 201410-1210-001
IC 207087
( )
Documents and Forms
Document Name
Document Type
Focus Group Discussion Guide 5-28-13.docx
Other-Focus Group Discussion Guide
Sample Statement V1 5-28-13.docx
Other-Sample Statement version 1
Sample Statement V2 5-28-13.docx
Other-Sample Statement Version 2
Sample Statement V3 5-28-13.docx
Other-Sample Statement Version 3
Informed Consent Statement 8-1-13.docx
Other-Informed Consent Statement
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Groups
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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-Focus Group Discussion Guide
Focus Group Discussion Guide 5-28-13.docx
No
Paper Only
Other-Sample Statement version 1
Sample Statement V1 5-28-13.docx
No
Printable Only
Other-Sample Statement Version 2
Sample Statement V2 5-28-13.docx
No
Printable Only
Other-Sample Statement Version 3
Sample Statement V3 5-28-13.docx
No
Printable Only
Other-Informed Consent Statement
Informed Consent Statement 8-1-13.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
50
0
0
0
0
50
Annual IC Time Burden (Hours)
75
0
0
0
0
75
Annual IC Cost Burden (Dollars)
0
0
0
0
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.