View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0456	ICR Reference No: 201209-0960-010
Status: Historical Active	Previous ICR Reference No: 200909-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement of Household Expenses and Contributions
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: 02/04/2013
	Date Received in OIRA: 01/03/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	04/30/2013
Responses	428,100	0	400,000
Time Burden (Hours)	107,025	0	100,000
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	428,100	400,000	28,100
Annual Time Burden (Hours)	107,025	100,000	7,025
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: There has been an increase in burden hours. This change stems from an increase number of respondents completing Forms SSA-8011-F3.

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