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: 0960-0529	ICR Reference No: 200912-0960-003
Status: Historical Active	Previous ICR Reference No: 200612-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Claimant Statement About Loan of Food or Shelter; Statement about Food or Shelter Provided to Another
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/20/2010
	Date Received in OIRA: 03/11/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2013	36 Months From Approved	06/30/2010
Responses	131,080	0	131,080
Time Burden (Hours)	21,848	0	21,846
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	131,080	131,080	-65,540	65,540
Annual Time Burden (Hours)	21,848	21,846	-10,923	10,925
Annual Cost Burden (Dollars)	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There have been no program changes or adjustments in the public reporting burden. However, because we are now able to break down the collection data to show electronic and paper collections, ROCIS registers this as a new IC.

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