Information Collection

Survey of Satisfaction with the Disability Evaluation System (DES)

IC 192076 under ICR 201002-2900-009 · OMB 2900-0762.

Documents and Forms

Document Name Document Type
DES Survey - Final.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of Satisfaction with the Disability Evaluation System (DES)	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-Survey			DES Survey - Final.docx		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 403	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	403	403
Annual IC Time Burden (Hours)	101	101
Annual IC Cost Burden (Dollars)	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.