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: 0960-0010	ICR Reference No: 200703-0960-003
Status: Historical Active	Previous ICR Reference No: 200608-0960-023
Agency/Subagency: SSA	Agency Tracking No:
Title: Application for Child'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: 08/02/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/15/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2010	36 Months From Approved	08/31/2007
Responses	1,740,000	0	1,740,000
Time Burden (Hours)	344,141	0	358,642
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,740,000	1,740,000	0
Annual Time Burden (Hours)	344,141	358,642	-14,501
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 decrease in the public reporting burden is due to the deletion of two questions which is only slightly offset by the addition of question #19 (see addendum).