View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0013	ICR Reference No: 198110-0960-013
Status: Historical Active	Previous ICR Reference No: 198009-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: APPLICATION FOR LUMP-SUM DEATH PAYMENT
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/09/1981
	Date Received in OIRA: 10/28/1981
Terms of Clearance: This request is approved until December 31, 1982 on the condition that HHS provide OMB with quantitative data that describes the consequences of reducing the "scope" of the application by eliminating questions 7(a)(b),12,13 and 18(a)(b). The data should be reported to OMB by April 30, 1982.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1982	12/31/1982	10/31/1981
Responses	816,000	0	1,360,000
Time Burden (Hours)	136,000	0	226,667
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	816,000	1,360,000	-544,000
Annual Time Burden (Hours)	136,000	226,667	-90,667
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to:

Short Statement:

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