View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0004	ICR Reference No: 200609-0960-025
Status: Historical Active	Previous ICR Reference No: 200608-0960-018
Agency/Subagency: SSA	Agency Tracking No:
Title: Application for Widow's or Widower's Insurance Benefits
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: 12/15/2006
	Date Received in OIRA: 09/25/2006
Terms of Clearance: This ICR is approved on the condition that grammatical errors and other such non-substantive errors should be corrected when this form is next printed.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	36 Months From Approved	12/31/2006
Responses	341,560	0	288,580
Time Burden (Hours)	82,686	0	69,860
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	341,560	288,580	52,980
Annual Time Burden (Hours)	82,686	69,860	12,826
Annual Cost Burden (Dollars)	0	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: The increase in the public reporting burden is due to an increase in the number of respondents for the widow(er)'s benefits.

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