PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
0960-0174 SSA-8006 (Paper Form)
New
12160
6080
0
Form and Instruction
SSA-8006
Statement of Living Arrangements, In-Kind Support and Maintenance
0960-0174 SSA-8006 (SSI Claims System)
New
109436
54718
0
Other-Intranet Screens
0960-0456 Personal Interview (SSI Claims System)
New
199380
119628
0
Other-Intranet Screens
0960-0456 SSA-8011 (Paper Form)
New
10500
6300
0
Form and Instruction
SSA-8011
Statement of Household Expense and Contributions
0960-0529 SSA-5062 (Paper version)
New
14513
13062
0
Form and Instruction
SSA-5062
Statement of Household Expense and Contributions
0960-0529 SSA-5062 (SSI claim system)
New
14513
10643
0
Other-Intranet Screens
0960-0529 SSA-L5063 (Paper version)
New
14513
13062
0
Form and Instruction
SSA-L5063
Statement about Food or Shelter Provided to Another
0960-0529 SSA-L5063 (SSI claim system)
New
14513
10643
0
Other-Intranet Screens
Total burden requested under this ICR:
389528
234136
0
To view an IC, click on IC Title
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