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Baseline Survey
Benefit Offset National Demonstration (BOND) Project
OMB: 0960-0785
IC ID: 193739
OMB.report
SSA
OMB 0960-0785
ICR 201309-0960-001
IC 193739
( )
Documents and Forms
Document Name
Document Type
BOND Stage 2 Baseline Survey.pdf
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Baseline Survey
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
BOND Stage 2 Baseline Survey.pdf
Yes
Yes
Fillable Fileable
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:
12,954
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
12,954
0
0
354
0
12,600
Annual IC Time Burden (Hours)
8,852
0
0
242
0
8,610
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.
