Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
0960-0174 SSA-8006 (Paper Form) Modified 12160 12160 0 Form and Instruction SSA-8060 Statement of Living Arrangements, In-Kind Support and Maintenance
Form and Instruction SSA-8006 (to SSA-8007 Effective after 9/30/24) Statement of Living Arrangements, In-Kind Support and Maintenance
0960-0174 SSA-8006 (SSI Claims System) Modified 109436 109436 0 Other-Intranet Screens
0960-0456 Personal Interview (SSI Claims System) Modified 199380 219318 0 Other-Intranet Screens
0960-0456 SSA-8011 (Paper Form) Modified 10500 11550 0 Form and Instruction SSA-8011 Statement of Household Expense and Contributions
Form and Instruction SSA-8011 (to Form SSA-8012 effective on 9/30/24) Statement of Household Expense and Contributions
0960-0529 SSA-5062 (Paper version) Modified 14513 17899 0 Form and Instruction SSA-5062 Claimant's Statement About Loan Of Food Or Shelter
Form and Instruction SSA-5062 (to SSA-5064 Effective on 9/30/24) Claimant's Statement About Loan Of Food Or Shelter
0960-0529 SSA-5062 (SSI claim system) Modified 14513 17899 0 Other-Intranet Screens
0960-0529 SSA-L5063 (Paper version) Modified 14513 17899 0 Form and Instruction SSA-L5063 Statement about Food or Shelter Provided to Another
Form and Instruction SSA-L5063 (to SSA-L5065 Effective on 9/30/24) Statement about Food or Shelter Provided to Another
0960-0529 SSA-L5063 (SSI claim system) Modified 14513 17899 0 Other-Intranet Screens
Total burden requested under this ICR: 389528 424060 0  
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