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: 0960-0189	ICR Reference No: 200904-0960-006
Status: Historical Active	Previous ICR Reference No: 200801-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Sewardship Annual Earnings Test Workbook
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/20/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/20/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	05/31/2011	05/31/2011
Responses	12,375	0	12,075
Time Burden (Hours)	2,147	0	1,997
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	12,375	12,075	300
Annual Time Burden (Hours)	2,147	1,997	150
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: SSA plans to conduct a Quality Review with 300 respondents who submitted an iClaim application (OMB No. 0960-0618). Therefore, the burden for form SSA-2930 has increased.