REQUEST TO OBTAIN DATA FROM STATES WHICH ADMINISTER THEIR OWN SUPPLEMENTARY PAYMENT PROGRAM(S)

ICR 198103-0960-006

OMB: 0960-0240

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0240 198103-0960-006
Historical Active
SSA
REQUEST TO OBTAIN DATA FROM STATES WHICH ADMINISTER THEIR OWN SUPPLEMENTARY PAYMENT PROGRAM(S)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/15/1981
Retrieve Notice of Action (NOA) 03/23/1981
  Inventory as of this Action Requested Previously Approved
01/31/1983 01/31/1983
71 0 0
71 0 0
0 0 0

UNDER THE PROVISIONS OF SECTION 2, PUBLIC LAW 94-585, ENACTED OCTOBER 21, 1976, STATES THAT SUPPLEMENT THE FEDERAL SUPPLEMENTAL SECURITY INCOME (SSI) PAYMENTS ARE REQUIRED TO "PASS ALONG" THE FEDERA COST-OF-LIVING INCREASES TO INDIVIDUALS WHO ARE ELIGIBLE FOR STATE SUPPLEMENTARY PAYMENTS. THIS INFORMATION IS REQUIRED BY SSA TO VERIFY THAT THESE STATES ARE IN COMPLIANCE WITH THE LAW.

None
None


No

1
IC Title Form No. Form Name
REQUEST TO OBTAIN DATA FROM STATES WHICH ADMINISTER THEIR OWN SUPPLEMENTARY PAYMENT PROGRAM(S)

  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 71 0 0 71 0 0
Annual Time Burden (Hours) 71 0 0 71 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
03/23/1981


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