eCBSV Outreach Survey under the Economic Growth, Regulatory Relief, and Consumer Protection Act

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Document Name Document Type
2018 SSA Initiative Needs Assessment Survey.pdf Other-2018 SSA Initiative Needs Asse
Description of the eCBSV Outreach Survey.docx Description of the eCBSV Outreach Survey IC Document

Information Collection (IC) Details

IC Title:	eCBSV Outreach Survey under the Economic Growth, Regulatory Relief, and Consumer Protection Act	Agency IC Tracking Number:

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-2018 SSA Initiative Needs Assessment Survey			2018 SSA Initiative Needs Assessment Survey.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: 7,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	1,875	1,875
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Description of the eCBSV Outreach Survey	Description of the eCBSV Outreach Survey.docx	11/08/2018

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