View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0456	ICR Reference No: 200112-0960-013
Status: Historical Active	Previous ICR Reference No: 199807-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement of Household Expenses and Contributions
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: 02/07/2002
	Date Received in OIRA: 12/17/2001
Terms of Clearance: Approved for 2 years, during which time SSA will explore a revision of the form to make it more clear. Specifically, SSA will consider changes to the explination of "average" versus fixed monthly household expenses to make it less confusing to respondents, and will fix any other typos or clarity problems that are identified in the review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2004	03/31/2004	03/31/2002
Responses	400,000	0	400,000
Time Burden (Hours)	100,000	0	100,000
Cost Burden (Dollars)	0	0	0

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