Information Collection

12-month Follow-up Survey

IC 258378 under ICR 202212-0960-001 · OMB 0960-0829.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0829 can be found here:

Documents and Forms

Document Name Document Type
VRFD 12-Month Follow-up Survey.pdf Other-VFRD 12- Month Follow-Up Surve
VRFD 12-Month Follow-up Survey.pdf Other-VFRD 12- Month Follow-Up Surve
VRFD Advance Notice.pdf Other-VRFD Advance Notice
VRFD Advance Notice.pdf Other-VRFD Advance Notice
VRFD Postcard Reminder Text.pdf Other-VFRD Survey Reminder Postcard
VRFD Postcard Reminder Text.pdf Other-VFRD Survey Reminder Postcard
VRFD Reminder Notice.pdf Other-VFRD Reminder Notice
VRFD Reminder Notice.pdf Other-VFRD Reminder Notice
VRFD Thank you Incentive Letter.pdf Other-VRFD Thank you incentive lette
VRFD Thank you Incentive Letter.pdf Other-VRFD Thank you incentive lette

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	12-month Follow-up Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-VFRD 12- Month Follow-Up Survey	VRFD 12-Month Follow-up Survey.pdf	Yes	Yes	Fillable Fileable
Other-VRFD Advance Notice	VRFD Advance Notice.pdf	Yes	Yes	Fillable Fileable
Other-VFRD Survey Reminder Postcard Notice	VRFD Postcard Reminder Text.pdf	Yes	No	Fillable Printable
Other-VFRD Reminder Notice	VRFD Reminder Notice.pdf	Yes	No	Fillable Printable
Other-VRFD Thank you incentive letter	VRFD Thank you Incentive Letter.pdf	No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	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	400	400
Annual IC Time Burden (Hours)	527	527
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.