View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0013	ICR Reference No: 200012-0960-002
Status: Historical Active	Previous ICR Reference No: 199709-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Application for Lump Sum Death Payment
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: 01/16/2001
	Date Received in OIRA: 12/13/2000
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2004	03/31/2004	01/31/2001
Responses	877,000	0	735,000
Time Burden (Hours)	146,167	0	122,500
Cost Burden (Dollars)	0	0	0

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