REPRESENTATIVE PAYEE REPORT FOR SUPPLEMENTAL SECURITY INCOME

ICR 197906-0960-005

OMB: 0960-0135

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0135 197906-0960-005
Historical Active 197903-0960-030
SSA
REPRESENTATIVE PAYEE REPORT FOR SUPPLEMENTAL SECURITY INCOME
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/29/1979
Approved with change 06/29/1979
Retrieve Notice of Action (NOA) 06/29/1979
  Inventory as of this Action Requested Previously Approved
08/31/1979 08/31/1979 07/31/1979
127,500 0 127,500
42,000 0 42,000
0 0 0



None
None


No

1
IC Title Form No. Form Name
REPRESENTATIVE PAYEE REPORT FOR SUPPLEMENTAL SECURITY INCOME SSA-8190-C2

  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 127,500 127,500 0 0 0 0
Annual Time Burden (Hours) 42,000 42,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
06/29/1979


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