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: 0960-0734	ICR Reference No: 200607-0960-013
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement of Reclamation Action
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/01/2006
	Date Received in OIRA: 08/22/2006
Terms of Clearance: OMB approves this previously unapproved collection. SSA must report the resolution of this violation in the next ICB, and expeditiously identify and resolve any additional violations to ensure full compliance with the PRA.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2009	36 Months From Approved
Responses	15	0	0
Time Burden (Hours)	1	0	0
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
SSA-1713/Not-For-Profit	SSA-1712, SSA-1713, SSA-1712-CN	, ,
SSA-1713/businesses	SSA-1713, SSA-1712, SSA-1712-CN	, ,

ICR Summary of Burden

	Total Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses	15	15
Annual Time Burden (Hours)	1	1
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Form SSA-1713 is currently in use without an OMB number. This information collection, which was inadvertently in use without OMB approval, was discovered in April 2006, and this clearance package was compiled to bring it into compliance with the Paperwork Reduction Act.

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