View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0395	ICR Reference No: 199511-0960-008
Status: Historical Active	Previous ICR Reference No: 199209-0960-001
Agency/Subagency: SSA	Agency Tracking No:
Title: Modified Benefits Formula Questionnaire
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/28/1995
	Date Received in OIRA: 11/05/1995
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1999	01/31/1999	12/31/1995
Responses	90,000	0	90,000
Time Burden (Hours)	12,000	0	12,000
Cost Burden (Dollars)	0	0	0

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