Maintenance of Payment Levels

State Supplementation Provisions: Agreement; Payment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0240 can be found here:

Documents and Forms

Document Name Document Type
State Supplemental Provisions--Agreements, Payments Regulations.pdf www.access.gpo.gov/nara/cfr/cfr-table-search.html Other-Regulation

Information Collection (IC) Details

IC Title:	Maintenance of Payment Levels	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 416.2095-416.2099

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Regulation			State Supplemental Provisions--Agreements, Payments Regulations.pdf	http://www.access.gpo.gov/nara/cfr/cfr-table-search.html	Yes	Yes	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	23	23
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.