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: 0960-0445	ICR Reference No: 200912-0960-006
Status: Historical Active	Previous ICR Reference No: 200701-0960-019
Agency/Subagency: SSA	Agency Tracking No:
Title: Application for Benefits Under the Italy-U.S. International Social Security Agreements
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: 06/02/2010
	Date Received in OIRA: 04/19/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2013	36 Months From Approved	07/31/2010
Responses	250	0	200
Time Burden (Hours)	83	0	67
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	250	200	50
Annual Time Burden (Hours)	83	67	16
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: When we last cleared this information collection tool in 2007, the burden was 67 hours. However, we are currently reporting a burden of 83 hours. This change stems from an increase in the number of respondents who are completing this form.

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