Interviews with Exiters and Possible Exiters (icl. informed consent and pre-collection questions)

SSA Beyond Benefits Study (BBS) Data Collection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0836 can be found here:

Documents and Forms

Document Name Document Type
Attachment A-1. Possible Exiters In-Depth Interview Protocol.pdf Other-Possible Exiters In-Depth Inte
Attachment A-1. Possible Exiters In-Depth Interview Protocol.pdf Other-Possible Exiters In-Depth Inte
Attachment A-2. Exiters In-Depth Interview Protocol.pdf Other-Exiters In-Depth Interview Pro
Attachment A-2. Exiters In-Depth Interview Protocol.pdf Other-Exiters In-Depth Interview Pro
Attachment A-9. Exiter and Possible Exiter IDI Letter and Consent.pdf Other-Exiter and Possible Exiter IDI
Attachment A-9. Exiter and Possible Exiter IDI Letter and Consent.pdf Other-Exiter and Possible Exiter IDI
Attachment A-10. Exiter and Possible Exiter IDI recruitment call script.pdf Other-Exiter and Possible Exiter IDI
Attachment A-10. Exiter and Possible Exiter IDI recruitment call script.pdf Other-Exiter and Possible Exiter IDI

Information Collection (IC) Details

IC Title:	Interviews with Exiters and Possible Exiters (icl. informed consent and pre-collection questions)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Possible Exiters In-Depth Interview Protocol	Attachment A-1. Possible Exiters In-Depth Interview Protocol.pdf	No	Paper Only
Other-Exiters In-Depth Interview Protocol	Attachment A-2. Exiters In-Depth Interview Protocol.pdf	No	Paper Only
Other-Exiter and Possible Exiter IDI Letter and Consent	Attachment A-9. Exiter and Possible Exiter IDI Letter and Consent.pdf	No	Paper Only
Other-Exiter and Possible Exiter IDI recruitment call script	Attachment A-10. Exiter and Possible Exiter IDI recruitment call script.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: 70	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
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	76	76
Annual IC Cost Burden (Dollars)	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.