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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Disability Perception Survey (DPS) - Phone Version
Agency IC Tracking Number:
Is this a Common Form?
No
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-Telephone Inviewer FAQ
Appendix O _Telephone Interviewer FAQs.docx
No
Paper Only
Other-DPS survey
Appendix A_DPS survey.docx
No
Paper Only
Other-Privacy Act Statement
Appendix A2_Privacy Act Statement.docx
No
Paper Only
Other-Telephone Invittion script
Appendix D_AmeriSpeak’s Telephone Invitation script.docx
No
Paper Only
Other-Email Reminder Act Now
Appendix G_Reminder 3_ Act now and receive 20,000 AmeriPoints.docx
No
Paper Only
Other-Last chance email script
Appendix J_“Last Chance” email script.docx
No
Printable Only
Other-Text message script
Appendix L_AmeriSpeak’s text messaging prompting scripts.docx
No
Printable Only
Other-Post Card
Appendix M_Post Card.docx
No
Paper Only
Other-reminder letter with $2
Appendix N_reminder letter with $2 included.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:
752
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
752
0
752
0
0
0
Annual IC Time Burden (Hours)
213
0
213
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.