0960-0529 - SSA-5062 (SSI Claims System Screens)

Omitting Food From In-Kind Support and Maintenance Calculations

OMB: 0960-0838

IC ID: 265547

Documents and Forms
Information Collection (IC) Details

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0960-0529 - SSA-5062 (SSI Claims System Screens)
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 416.202 20 CFR 416.1102-416.1104 20 CFR 416.1121 20 CFR 416.1130 20 CFR 416.1201(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Intranet Screens SSA-5062 and SSA-L5063 - Current SSI Claims System Screens.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

29,026 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 29,026 29,026 0 0 0 0
Annual IC Time Burden (Hours) 9,192 9,192 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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