View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0542	ICR Reference No: 201605-0960-002
Status: Historical Active	Previous ICR Reference No: 201504-0960-012
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)
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: 10/25/2016
	Date Received in OIRA: 09/02/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2019	36 Months From Approved	10/31/2016
Responses	532,000	0	660,000
Time Burden (Hours)	177,333	0	220,000
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	532,000	660,000	-128,000
Annual Time Burden (Hours)	177,333	220,000	-42,667
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: The decrease in the number of respondents for this collection is due to a decrease in use based on our current case data in the 2015 Annual Report of the Supplemental Security Income Program. SSA did not initiate any program changes that would cause a decrease in respondents.

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