View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0046	ICR Reference No: 200607-0960-003
Status: Historical Active	Previous ICR Reference No: 200310-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement of Self-Employment Income 20 CFR 404.101, 404.110, 404.1096(a)-(d), 404-610, 404-611, 422.505
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: 09/19/2006
	Date Received in OIRA: 07/10/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2009	36 Months From Approved	11/30/2006
Responses	5,000	0	5,000
Time Burden (Hours)	417	0	417
Cost Burden (Dollars)	0	0	0

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