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OMB Control No: 0960-0093	ICR Reference No: 202608-0960-009
Status: Received in OIRA	Previous ICR Reference No: 202412-0960-009
Agency/Subagency: SSA	Agency Tracking No:
Title: Certification by Religious Group
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/28/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2026
Responses	318	142
Time Burden (Hours)	159	71
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	318	142	176
Annual Time Burden (Hours)	159	71	88
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: When we cleared the this ICR in 2024, the burden was 36 hours. However, we are currently reporting a burden of 80 hours. The increase in burden is due to the number of responses from 142 to 318. These figures represent current Management Information data. The availability of electronic management information data has enabled SSA to report a more accurate number of responses, resulting in an increase in the number of respondents for this renewal period. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. *Note: The total burden reflected in ROCIS is 159 while the burden cited in #12 of the Supporting Statement is 80. This discrepancy is because the ROCIS burden reflects the learning costs. In contrast, the chart in #12 above reflects actual burden.

Annual Cost to Federal Government: $5,484

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

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