Information Collection

Notice of Bench Decision

IC 9748 under ICR 201306-0960-003 · OMB 0960-0694.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0694 can be found here:

Documents and Forms

Document Name Document Type
Bench Decision.pdf Other-Notice
Bench_Decision-Revised[previous year).pdf Current Bench Decision Notice IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Bench Decision	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.953 20 CFR 416.1453

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Notice			Bench Decision.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: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	208	208
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current Bench Decision Notice	Bench_Decision-Revised[previous year).pdf	07/30/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.