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: 0960-0502	ICR Reference No: 199109-0960-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: BENEFICIARY RECONTACT REPORT
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/04/1991
	Date Received in OIRA: 09/11/1991
Terms of Clearance: This information collection is approved through 11-92 under the following conditions: 1) SSA will label the Specific Instructions with Headers entitled "Childs Benefits" and "Mother's/Father's Benefits", t improve clarity. 2) SSA will provide specific directions at the end of each line directing the beneficiary, where to proceed on the form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1992	11/30/1992
Responses	522,720	0	0
Time Burden (Hours)	43,560	0	0
Cost Burden (Dollars)	0	0	0

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