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Survey 2 (non-respondents)
SSA Work Disability Functional Assessment Battery (WD-FAB) Data Collection
OMB: 0960-0823
IC ID: 247278
OMB.report
SSA
OMB 0960-0823
ICR 202102-0960-005
IC 247278
( )
Documents and Forms
Document Name
Document Type
Attachment B1. Survey 1 Web Nonresponders Follow-up Script.pdf
Other-Web Nonresponders Follow-up Sc
Attachment B2. Survey 2 Web Nonresponders Follow-Up Script.pdf
Other-Survey 2 Web Nonresponders Fol
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey 2 (non-respondents)
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-Web Nonresponders Follow-up Script
Attachment B1. Survey 1 Web Nonresponders Follow-up Script.pdf
Yes
No
Paper Only
Other-Survey 2 Web Nonresponders Follow-up Script
Attachment B2. Survey 2 Web Nonresponders Follow-Up Script.pdf
Yes
No
Printable 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:
800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
800
0
800
0
0
0
Annual IC Time Burden (Hours)
27
0
27
0
0
0
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.