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: 0960-0036	ICR Reference No: 200408-0960-006
Status: Historical Active	Previous ICR Reference No: 200109-0960-008
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement of Agricultural Employer (Year Prior to 1988; 1988 and Later), 20 CFR 404.702, .802, & .1056
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: 10/18/2004
	Date Received in OIRA: 08/20/2004
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2007	10/31/2007	10/31/2004
Responses	125,000	0	125,000
Time Burden (Hours)	62,500	0	37,500
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.