Burden Changes to 0960-0174 SSA-8006 (Paper Form) Based on the Final Rule

Changes to the Information Collection Tools Associated with the Final Rule, Expansion of the Rental Subsidy Policy for Supplemental Security Income (SSI) Applicants and Recipients - RIN 0960-AI82

Documents and Forms

Document Name Document Type
Form SSA-8006-F4 Burden Changes to 0960-0174 SSA-8006 (Paper Form) Based on the Final Rule Form
SSA-8006-F4 Statement of Living Arrangements, In Kind Support and Ma SSA-8006-F4 - Current Version.pdf Form
SSA-8006-F4 Statement of Living Arrangements, In Kind Support and Ma SSA-8006-F4 - Current Version.pdf Form

Information Collection (IC) Details

IC Title:	Burden Changes to 0960-0174 SSA-8006 (Paper Form) Based on the Final Rule	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1100 20 CFR 416.1101 20 CFR 416.1102 20 CFR 416.1130

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-8006-F4	Statement of Living Arrangements, In Kind Support and Maintenance	SSA-8006-F4 - Current Version.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: 12,160	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,160	12,160
Annual IC Time Burden (Hours)	5,067	5,067
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.