NBS General Waves - Round 3 Successful Workers

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

Documents and Forms

Document Name Document Type
NBS-General Waves Instrument - 0800 (Updated - Round 2 - 2016).pdf Other-survey instrument
Updated PA Statement - 0800.pdf Other-Revised PA Statement
NBS-General Waves Instrument - 0800 (Current - Round 1 - 2014).pdf NBS-General Waves Instrument - 0800 (Current - Round 1 - 2014) IC Document

Information Collection (IC) Details

IC Title:	NBS General Waves - Round 3 Successful Workers	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 instrument			NBS-General Waves Instrument - 0800 (Updated - Round 2 - 2016).pdf		No		Paper Only
Other-Revised PA Statement			Updated PA Statement - 0800.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: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,000	0	3,000
Annual IC Time Burden (Hours)	3,500	740	2,760
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
NBS-General Waves Instrument - 0800 (Current - Round 1 - 2014)	NBS-General Waves Instrument - 0800 (Current - Round 1 - 2014).pdf	07/12/2016

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