FINANCIAL STATUS REPORT

ICR 198005-0960-002

OMB: 0960-0186

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
115015 Migrated
ICR Details
0960-0186 198005-0960-002
Historical Active
SSA
FINANCIAL STATUS REPORT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/19/1980
Retrieve Notice of Action (NOA) 05/23/1980
  Inventory as of this Action Requested Previously Approved
06/30/1982 06/30/1982
324 0 0
1,296 0 0
0 0 0

PUBLIC LAW 96-126 PROVIDES FOR SPPPLEMENTAL ENERGY ALLOWANCE PAYMENTS FOR FY-80 WERE MADE TO PEOPLE WITH LITTLE OR NO INCOME. THE INFORMATION IS USED TO DETERMINE THAT THE FUNDS THAT WERE MADE AVAILBLE TO THE STATES WERE USED PROPERLY AND THAT THE LIMITATION REGARDING TOTAL ADMINISISTRATIVE EXPENSES WERE ADHERED TO AND IN IDENTIFYING EXCESS FUNDING AMOUNTS AND THE SUBSEQUENT RETURN OF SUCH FUNDS. IN FY-1981 THERE WILL BE CHANGES IN CATEGORIES ON TH

None
None


No

1
IC Title Form No. Form Name
FINANCIAL STATUS REPORT SSA-4217

  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 324 0 0 0 324 0
Annual Time Burden (Hours) 1,296 0 0 0 1,296 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.
05/23/1980


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