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The Federal Annuitant Benefits Survey (FABS)
Federal Annuitant Benefits Survey
OMB: 3206-0267
IC ID: 218762
OMB.report
OPM
OMB 3206-0267
ICR 201510-3206-007
IC 218762
( )
Documents and Forms
Document Name
Document Type
Form 001
The Federal Annuitant Benefits Survey (FABS)
Form and Instruction
001 Federal Annuitant Benefits Survey
FABS_Final.pdf
Form and Instruction
FABS Supporting Statement A.doc
FABS Supporting Documents
IC Document
Published 60 Day Notice.pdf
60 Day Notice
IC Document
Signed 30 Day Notice.pdf
30 Day Notice
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
The Federal Annuitant Benefits Survey (FABS)
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
Form and Instruction
001
Federal Annuitant Benefits Survey
FABS_Final.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
720
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
720
0
720
0
0
0
Annual IC Time Burden (Hours)
240
0
240
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FABS Supporting Documents
FABS Supporting Statement A.doc
10/28/2015
60 Day Notice
Published 60 Day Notice.pdf
10/28/2015
30 Day Notice
Signed 30 Day Notice.pdf
10/28/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.