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: 0960-0699	ICR Reference No: 200612-0960-009
Status: Historical Active	Previous ICR Reference No: 200501-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Non-Attorney Representative Demonstration Project
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: 03/30/2007
	Date Received in OIRA: 01/25/2007
Terms of Clearance: This ICR is approved on the understanding that the revised online version of the application form will mirror the revised paper-based application form and that the eased liability requirements are still sufficient to protect claimants. SSA should resubmit this ICR if comments to the interim final rule associated with this ICR requires this ICR to be revised. At that time, this ICR should be submitted as "associated with rulemaking."

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2010	36 Months From Approved	02/29/2008
Responses	1,250	0	500
Time Burden (Hours)	725	0	500
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,250	500	750
Annual Time Burden (Hours)	725	500	225
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Based on experience gained during the application process, the existing collection instrument must be revised to add additional questions that the applicant must answer in order to be eligible for participation in the demonstration project. In addition, SSA is adding the Continuing Education (CE) collection to this ICR. The CE collection was inadvertently missed in the original clearance of the Demo project and SSA obtained approved under a separate OMB control number, 0960-0737 to bring it into PRA compliance.

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