Application for Supplemental Security Income (SSI)

ICR 200907-0960-011

OMB: 0960-0229

Federal Form Document

ICR Details
0960-0229 200907-0960-011
Historical Active 200902-0960-017
SSA
Application for Supplemental Security Income (SSI)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/18/2009
Retrieve Notice of Action (NOA) 07/28/2009
  Inventory as of this Action Requested Previously Approved
09/30/2011 09/30/2011 09/30/2011
1,327,410 0 1,327,410
753,035 0 753,035
0 0 0

We are making some minor non-substantive changes to this form. See the modified form in IC section and the justification for non-substantive change in the ICR documents section.

US Code: 42 USC 1383 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  73 FR 16087 03/26/2008
73 FR 33138 06/11/2008
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,327,410 1,327,410 0 0 0 0
Annual Time Burden (Hours) 753,035 753,035 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Temporary burden increase due to the brief two-week survey SSA is conducting. After the survey is complete, we will return the burden to its previous levels.

$352,856
No
No
Uncollected
Uncollected
No
Uncollected
Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/28/2009


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