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: 0960-0542	ICR Reference No: 201302-0960-007
Status: Historical Active	Previous ICR Reference No: 201004-0960-001
Agency/Subagency: SSA	Agency Tracking No:
Title: Function Report - Child (Birth to 1st Birthday, Age 1 to 3rd Birthday, Age 3 to 6th Birthday, Age 6 to 12th Birthday, Age 12 to 18th Birthday), 20 CFR 416.912 and 416.924a(a)(2)
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: 09/30/2013
	Date Received in OIRA: 06/07/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	09/30/2013
Responses	660,000	0	500,000
Time Burden (Hours)	220,000	0	166,667
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	660,000	500,000	160,000
Annual Time Burden (Hours)	220,000	166,667	53,333
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: We based the change in the number of respondents and the associated hour burden (from 550,000 respondents in the previous clearance request to 660,000 in this request) on the case data in the 2011 SSI Report to Congress. An increase in the number of respondents completing the forms was the cause of this change in the public reporting burden. SSA did not initiate any program changes that would cause an increase in respondents.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.