MyPBA Usability Study 2021

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0066 can be found here:

Documents and Forms

Document Name Document Type
My PBA Usability Study Screener.docx My PBA Usability Study Screener IC Document
MyPBA Usability Script - Not Yet Receiving Benefits.docx MyPBA Usability Script - Not Yet Receiving Benefits IC Document
MyPBA Usability Script - Not Yet Receiving Benefits.docx MyPBA Usability Script - Not Yet Receiving Benefits IC Document
MyPBA Usability Script - Receiving Benefits.docx MyPBA Usability Script - Receiving Benefits IC Document
MyPBA Usability Script - Receiving Benefits.docx MyPBA Usability Script - Receiving Benefits IC Document
MyPBA Usability Study Email Messages.docx MyPBA Usability Study Email Messages IC Document
MyPBA Usability Study Email Messages.docx MyPBA Usability Study Email Messages IC Document
Template for Generic Clearance Submission for Survey 2021.02.docx Supporting Statement IC Document
Template for Generic Clearance Submission for Survey 2021.02.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	MyPBA Usability Study 2021	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 4022

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: PBGC – 6: Plan Participant and Beneficiary Data	FR Citation: 29 FR 4022

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
My PBA Usability Study Screener	My PBA Usability Study Screener.docx	06/08/2021
MyPBA Usability Script - Not Yet Receiving Benefits	MyPBA Usability Script - Not Yet Receiving Benefits.docx	06/08/2021
MyPBA Usability Script - Not Yet Receiving Benefits	MyPBA Usability Script - Not Yet Receiving Benefits.docx	06/08/2021
MyPBA Usability Script - Receiving Benefits	MyPBA Usability Script - Receiving Benefits.docx	06/08/2021
MyPBA Usability Script - Receiving Benefits	MyPBA Usability Script - Receiving Benefits.docx	06/08/2021
MyPBA Usability Study Email Messages	MyPBA Usability Study Email Messages.docx	06/08/2021
MyPBA Usability Study Email Messages	MyPBA Usability Study Email Messages.docx	06/08/2021
Supporting Statement	Template for Generic Clearance Submission for Survey 2021.02.docx	06/08/2021
Supporting Statement	Template for Generic Clearance Submission for Survey 2021.02.docx	06/08/2021

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