View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0456	ICR Reference No: 200611-0960-002
Status: Historical Active	Previous ICR Reference No: 200402-0960-007
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement of Household Expenses and Contributions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/01/2007
	Date Received in OIRA: 01/30/2007
Terms of Clearance: Approved consistent with the revised collection of (4/24/07) under the following conditions: 1) SSA shall clarify Write 0 under amount if your household has not spent any month for one of the expenses to instruct the respondent to write 0 for that particular expense. 2) SSA shall clarify that for questions 3 and 4 in part III that the if yes question is to be answered only for a yes answer to question 3 or 4, respectively. two clarifications to be made on the form prior to circulation.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	36 Months From Approved	04/30/2007
Responses	400,000	0	400,000
Time Burden (Hours)	100,000	0	100,000
Cost Burden (Dollars)	0	0	0

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