POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper

Promoting Opportunity Project (POD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0809 can be found here:

Documents and Forms

Document Name Document Type
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper Form and Instruction
POD Monthly Earnings & IRWE Reporting Form POD IRWE Monthly Reporting Form - Revised.pdf Form and Instruction
POD IRWE Monthly Reporting Form.pdf Current IRWE Monthly Reporting Form IC Document

Information Collection (IC) Details

IC Title:	POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	POD Monthly Earnings & IRWE Reporting Form	POD IRWE Monthly Reporting Form - Revised.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: 1,820	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	21,840	21,840
Annual IC Time Burden (Hours)	3,640	3,640
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current IRWE Monthly Reporting Form	POD IRWE Monthly Reporting Form.pdf	05/14/2018

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