Request for Documents or Information (Form SSA-2118-U2)

ICR 201201-0960-005

OMB: 0960-0795

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
200927 New
ICR Details
0960-0795 201201-0960-005
Historical Active
SSA
Request for Documents or Information (Form SSA-2118-U2)
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 04/26/2012
Retrieve Notice of Action (NOA) 03/26/2012
SSA needs to report this collection in OMB's annual report on the Information Collection Budget.
  Inventory as of this Action Requested Previously Approved
04/30/2015 36 Months From Approved
7,500 0 0
625 0 0
0 0 0

SSA must request information or evidence from claimants to pay the proper Retirement, Survivors, Disability, and Health Insurance (RSDHI) benefits and Supplemental Security Income payments. SSA uses Form SSA-2118-U2 to request required documents or information when the information claimants supply is insufficient to process a claim. Respondents are applicants for RSDHI and SSI.

US Code: 42 USC 902 Name of Law: Social Security Act
   US Code: 42 USC 405 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  77 FR 2114 01/13/2012
77 FR 16113 03/19/2012
No

1
IC Title Form No. Form Name
Request for Documents or Information SSA-2118-U2 SSA-2118 Request for Documents and Information

  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 7,500 0 0 0 0 7,500
Annual Time Burden (Hours) 625 0 0 0 0 625
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$8,211
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@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.
03/26/2012


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