View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0960-0416	ICR Reference No: 199102-0960-006
Status: Historical Active	Previous ICR Reference No: 198802-0960-010
Agency/Subagency: SSA	Agency Tracking No:
Title: STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS
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: 04/08/1991
	Date Received in OIRA: 02/12/1991
Terms of Clearance: This paperwork is approved through 5-92 under the following condition: SSA will reevaluate the burden estimate of 12 minutes on this packet as it appears to dramatically underestimate the amount of time necessary to read the instructions, gather the facts, and fill out the form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1992	03/31/1992	05/31/1991
Responses	554,000	0	614,000
Time Burden (Hours)	110,800	0	122,800
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	554,000	614,000	-60,000
Annual Time Burden (Hours)	110,800	122,800	-12,000
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:

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.