View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

12-month Follow-up Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix B.6. Follow-up Survey - Revised Yes Yes Fillable Fileable
Other-Appendix B.1.VRFD Advance Notice (Revised) Yes Yes Fillable Fileable
Other-Appendix B.2. VRFD Reminder Letter (Revied) Yes No Fillable Printable
Other-Appendix B.7. Informed Consent (Revised) No   Paper Only
Other-Revised PRA Statement No   Paper Only

Income Security General Retirement and Disability

 

90 0
   
Individuals or Households
 
   0 %

  Requested 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 90 0 0 -310 0 400
Annual IC Time Burden (Hours) 38 0 0 -489 0 527
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B.1. VRFD Advance (Current) 05/22/2026
Appendix B.2. VRFD Reminder Letter (Current) 05/22/2026
Appendix B.7. Informed Consent (Current) 05/22/2026
Appendix B.3. VRFD Postcard Reminder 05/22/2026
Appendix B.6. VRFD Follow-up Survey 05/22/2026
B.4. Thank You Incentive Letter 05/22/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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