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: 0960-0730	ICR Reference No: 201003-0960-002
Status: Historical Active	Previous ICR Reference No: 200902-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Identifying Information for Possible Direct Payment of Authorized Fees
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 without change	Conclusion Date: 08/27/2010
	Date Received in OIRA: 07/14/2010
Terms of Clearance: This form is approved for two years only. SSA planned to introduce a new system in Spring 2010, to enable information to be filled out online without requiring social security numbers. When the new system is completed, this form will be discontinued.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	36 Months From Approved	08/31/2010
Responses	400,000	0	400,000
Time Burden (Hours)	66,667	0	66,667
Cost Burden (Dollars)	0	0	0

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