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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Two Customer Satisfaction Surveys (MySSAccess Focus Group and PCAP Survey for SSA Alumni)
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-Focus Group
MySSAccess Discussion Guide.doc
No
Paper Only
Other-survey
PCAP Survey SSAA Questionnaire.doc
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:
145
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
68 %
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
145
0
145
0
0
0
Annual IC Time Burden (Hours)
87
0
87
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Template - MySSAccess Focus Group
Template_MySSAccess_Focus_Group[1].docx
01/18/2012
MySSAccess Participant Screener and Consent Form
Participant Screener and Infomed Concent.docx
01/17/2012
Template PCAP Survey SSAA Questionnaire
PCAP Survey SSAA Questionnaire.doc
01/18/2012
Description PCAP Survey SSA Alumni
Description PCAP Survey SSA Alumni.docx
01/18/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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