View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0016	ICR Reference No: 201105-0960-005
Status: Historical Active	Previous ICR Reference No: 200806-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement Regarding Date of Birth and Citizenship
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: 10/03/2011
	Date Received in OIRA: 08/04/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved	12/31/2011
Responses	1,200	0	1,200
Time Burden (Hours)	200	0	200
Cost Burden (Dollars)	0	0	0

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