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: 0960-0016	ICR Reference No: 199104-0960-001
Status: Historical Active	Previous ICR Reference No: 198908-0960-011
Agency/Subagency: SSA	Agency Tracking No:
Title: STATEMENT REGARDING DATE OF BIRTH AND CITIZENSHIP
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: 06/24/1991
	Date Received in OIRA: 04/30/1991
Terms of Clearance: This information collection is approved through 6-93 under the followi condition: SSA will add an estimate for the burden associated with this paperwork.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1993	06/30/1993	08/31/1991
Responses	18,000	0	22,800
Time Burden (Hours)	3,000	0	3,800
Cost Burden (Dollars)	0	0	0

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