Supplemental Security Income-Quality Review Case Analysis

Documents and Forms

Document Name Document Type
Form SSA-8508-BK Supplemental Security Income-Quality Review Case Analysis Form
Letter.pdf Other-Letter
SSA-8508-BK - Revised PA Statement.pdf Other-Revised Privacy Act Statement
SSA-8508-BK Supplemental Security Income--Quality Review Case Analys SSA-8508-EL-OPLM - Revised Version.pdf Form
SSA-8508-EL-OPLM - Current Version.pdf SSA-8508 Current Version IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supplemental Security Income-Quality Review Case Analysis	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	SSA-8508-BK	Supplemental Security Income--Quality Review Case Analysis	SSA-8508-EL-OPLM - Revised Version.pdf	No	Paper Only
Other-Letter			Letter.pdf	No	Paper Only
Other-Revised Privacy Act Statement			SSA-8508-BK - Revised PA Statement.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 230	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	230	5	225
Annual IC Time Burden (Hours)	230	5	225
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-8508 Current Version	SSA-8508-EL-OPLM - Current Version.pdf	02/28/2020

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