View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Retirement Booklet Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR Subpart A 831.101 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RS Booklet	Survey	RS Annuitant Survey 07-06-21.docx		Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	10,000	0	10,000	0	0	0
Annual IC Time Burden (Hours)	833	0	833	0	0	0
Annual IC Cost Burden (Dollars)	100,000	0	100,000	0	0	0

Documents for IC

Title	Document	Date Uploaded
Privacy Act Statement	Privacy Act Statement 05-14-21.docx	07/13/2021
Statement A	Statement A 07-06-21.docx	07/13/2021
Statement B	Supporting Statement B 05-14-21.docx	07/13/2021

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