View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	b) State Submission of Copy of Authorization (Manual Process)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1901-416.1902, 416.1904 20 CFR 416.1906, 416.1908, 416.1910 20 CFR 416.1920, 416.1922

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample MOU			Sample MOU Used with States.pdf		No		Paper Only
Other-Sample Signed Agreement			IAR NE Signed Agreement 11-2010.pdf		No		Printable Only
Other-Sample Signed Agreement Appendecies			IAR NE Signed Agreement Appendices (no PII) 11-2010.pdf		No		Printable Only

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: 27	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	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	51,138	0	0	-17,267	0	68,405
Annual IC Time Burden (Hours)	2,557	0	0	-863	0	3,420
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.