View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0046	ICR Reference No: 201204-0960-006
Status: Historical Active	Previous ICR Reference No: 200905-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement of Self-Employment Income
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: 08/31/2012
	Date Received in OIRA: 07/19/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	10/31/2012
Responses	2,500	0	2,500
Time Burden (Hours)	208	0	208
Cost Burden (Dollars)	0	0	0

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