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: 0960-0014	ICR Reference No: 200808-0960-009
Status: Historical Active	Previous ICR Reference No: 200805-0960-015
Agency/Subagency: SSA	Agency Tracking No:
Title: Request to be Selected as Payee
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: 03/13/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/12/2009
Terms of Clearance: Approved with the addition of a Privacy Act notice.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	36 Months From Approved	03/31/2009
Responses	1,500,000	0	1,500,000
Time Burden (Hours)	248,335	0	248,333
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,500,000	1,500,000	0
Annual Time Burden (Hours)	248,335	248,333	2
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 burden information for this form has not changed. Prior to ROCIS we were not able to show the various collection methods and respondent types individually. Therefore, we are now splitting them into individual ICs.