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: 0960-0546	ICR Reference No: 200209-0960-006
Status: Historical Active	Previous ICR Reference No: 199908-0960-001
Agency/Subagency: SSA	Agency Tracking No:
Title: Supplemental Security Income Notice of Interim Assistance Reimbursement
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 with change	Conclusion Date: 11/25/2002
	Date Received in OIRA: 09/26/2002
Terms of Clearance: Approved for use through 11/2005 under the following conditions: 1) the next submission for OMB review includes a status report on internet/intranet pilots in Nebraska, Kansas, and other interested states; and 2) SSA includes a solicitation for public comment in its PRA disclosure statement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2005	12/31/2005	11/30/2002
Responses	100,000	0	100,000
Time Burden (Hours)	16,666	0	16,666
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.