NBS-General Waves Instrument Round 1 - Administration Year

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
Attachment B - Respondent Correspondence.pdf Attachment B - Respondent Correspondence IC Document
Attachment C - Confidentiality Pledge Final.pdf Attachment C - Confidentiality Pledge Final IC Document

Information Collection (IC) Details

IC Title:	NBS-General Waves Instrument Round 1 - Administration Year	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: 4,062	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	4,062	62	4,000
Annual IC Time Burden (Hours)	3,047	47	3,000
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
Attachment B - Respondent Correspondence	Attachment B - Respondent Correspondence.pdf	07/12/2016
Attachment C - Confidentiality Pledge Final	Attachment C - Confidentiality Pledge Final.pdf	07/12/2016

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