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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
New Applicant Survey (NAS) and Spanish and English Cognitive of the Social Security Statement
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-Invitation Letter for Cognitive Interview
Appendix A. Invitation Letter for Cognitive Interviews.docx
No
Paper Only
Other-Consent Statement for Cognitive Interviews
Appendix B. Consent Statement for Cognitive Interviews.docx
No
Paper Only
Other-Letter to Confirm Applicant Interview Appointment
Appendix C. Letter to Confirm Applicant Interview Appointment.docx
No
Paper Only
Other-Enclosure with List of Resources
Appendix D. Enclosure with List of Resources.docx
No
Paper Only
Other-NAS Cognitive Interview Protocol
Appendix E NAS Cognitive Interview Protocol.docx
No
Paper Only
Other-Invitation Letter for Pretest
Appendix F.Invitation Letter for Pretest.docx
No
Paper Only
Other-Consent Statement for Pretest
Appendix G. Consent Statement for Pretest.docx
No
Paper Only
Other-Enclosure with List of Resources
Appendix H. Enclosure with List of Resources.docx
No
Paper Only
Other-Reminder Letter for Pretest
Appendix I. Reminder Letter for Pretest.docx
No
Paper Only
Other-NAS Cognitive Interview Guide
NAS Cognitive Interview Guide.docx
No
Paper Only
Other-NAS Draft Questionnaire
NAS Draft Questionnaire v4.docx
No
Paper Only
Other-Discussion for Limited Earnings, SSI and Other Benefits
Discussion for Limited Earnings, SSI and Other Benefits.docx
No
Paper Only
Other-Discussion Guide for Additional Work Can Increase Your Future Benefits
Discussion Guide for Additional Work Can Increase Your Future Benefits.docx
No
Paper Only
Other-Discussion Guide for How You Become Eligible for Benefits
Discussion Guide for How You Become Eligible for Benefits.docx
No
Paper Only
Other-Discussion Guide for Introduction
Discussion Guide for Introduction.docx
No
Paper Only
Other-Discussion Guide for Limited Earners, SSI and Other Benefits (English)
Discussion Guide for Limited Earners, SSI and Other Benefits (English).docx
No
Paper Only
Other-Discussion Guide for Medicare Ready
Discussion Guide for Medicare Ready.docx
No
Paper Only
Other-Discussion Guide for New Workers
Discussion Guide for New Workers.docx
No
Paper Only
Other- Discussion Guide for Workers Ages 18 to 48
Discussion Guide for Workers Ages 18 to 48.docx
No
Paper Only
Other-Discussion Guide for Workers Ages 49 to 60
Discussion Guide for Workers Ages 49 to 60.docx
No
Paper Only
Other- Discussion Guide for Workers Ages 61 to 69.
Discussion Guide for Workers Ages 61 to 69.docx
No
Paper Only
Other- Discussion Guide for Workers Ages 70 and Up
Discussion Guide for Workers Ages 70 and Up.docx
No
Paper Only
Other- Discussion Guide for You Have Earnings Not Covered by Social Security.
Discussion Guide for You Have Earnings Not Covered by Social Security.docx
No
Paper Only
Other-Interview Confirmation Email.
Interview Confirmation Email.docx
Yes
No
Printable Only
Other- Recruiting Screener and Script for Individual Interviews
Recruiting Screener and Script for Individual Interviews.docx
No
Paper Only
Other-Social Security Statement
Social Security Statement.docx
No
Paper Only
Other-SSA Research Informed Consent.
SSA Research Informed Consent.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:
5,696
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
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
5,696
0
5,696
0
0
0
Annual IC Time Burden (Hours)
428
0
428
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Description of New Applicant Survey (NAS)
Description of New Applicant Survey (NAS).docx
12/01/2023
Description of Spanish and English Cognitive of the Social Security Statement
Description of Spanish and English Cognitive of the Social Security Statement .docx
12/01/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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