View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0665	ICR Reference No: 200212-0960-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: Form SSA-711, Request for a Deceased Individual's Social Security Record
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 with change	Conclusion Date: 12/17/2003
	Date Received in OIRA: 12/02/2002
Terms of Clearance: This request, as amended by additional supporting documentation provided to OMB, is approved.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2006	12/31/2006
Responses	320,000	0	0
Time Burden (Hours)	37,333	0	0
Cost Burden (Dollars)	0	0	0

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