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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Social Security Statement Cognitive & Usability Testing
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- Discussion Guide for Workers Ages 18 to 48
Discussion Guide for Workers Ages 18 to 48 (clean copy).docx
No
Paper Only
Other-Discussion Guide for Workers Ages 49 to 60
Discussion Guide for Workers Ages 49 to 60 1-8-21 (clean copy).docx
No
Paper Only
Other- Discussion Guide for Workers Ages 61 to 69
Discussion Guide for Workers Ages 61 to 69 -0788.docx
No
Paper Only
Other- Discussion Guide for Workers Ages 70 and Up
Discussion Guide for Workers Ages 70 and Up - 0788.docx
No
Paper Only
Other- Discussion Guide for Additional Work Can Increase Your Retirement Benefits Fact Sheet
Discussion Guide for Additional Work Can Increase Your Retirement Benefits Fact Sheet (1).docx
No
Paper Only
Other- Discussion Guide for Earnings Not Covered by SS
Discussion Guide for Earnings Not Covered by SS (clean copy).docx
No
Paper Only
Other- Discussion Guide for How You Become Eligible For Benefits
Discussion Guide for How You Become Eligible For Benefits (1).docx
No
Paper Only
Other-Discussion Guide for Medicare Ready
Discussion Guide for Medicare Ready (clean copy).docx
No
Paper Only
Other- Discussion Guide for Social Security Basics for New Workers
Discussion Guide for Social Security Basics for New Workers (1).docx
No
Paper Only
Other- Discussion guide - Statement
Discussion guide - Statement -0788.docx
No
Paper Only
Other- Recruiting Screener for inividual interviews
Recruiting Screener for inividual interviews (1).docx
No
Paper Only
Other- SS Cognitive and Usability Testing Respondent Matrix
SS Cognitive and Usability Testing Respondent Matrix.docx
No
Paper 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:
45
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
45
0
45
0
0
0
Annual IC Time Burden (Hours)
45
0
45
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Description of Social Security Statement Cognitive & Usability Testing
Description of Social Security Statement Cognitive Testing -0788.docx
01/20/2021
Research Consent Form
SSA Research Consent form.docx
01/20/2021
Spanish Speakers Flyer
Spanish Speakers and Readers Flyer.docx
01/20/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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