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: 0960-0542	ICR Reference No: 199410-0960-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: REPORT OF FUNCTION, CHILD - BIRTH UP TO 1ST BIRTHDAY, AGE 1 TO 3RD BIRTHDAY, 3RD TO 6TH BIRTHDAY, 6TH TO 12TH BIRTHDAY, 12TH TO 18TH BIRTHDAY
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: 12/30/1994
	Date Received in OIRA: 10/21/1994
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1998	01/31/1998
Responses	500,000	0	0
Time Burden (Hours)	166,667	0	0
Cost Burden (Dollars)	0	0	0

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