STATE CONTRIBUTION RETURN

ICR 198206-0960-001

OMB: 0960-0041

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
114376 Migrated
ICR Details
0960-0041 198206-0960-001
Historical Active 198102-0960-004
SSA
STATE CONTRIBUTION RETURN
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/15/1982
Retrieve Notice of Action (NOA) 06/14/1982
  Inventory as of this Action Requested Previously Approved
03/31/1983 03/31/1983
10,032 0 0
502 0 0
0 0 0

SECTION 218 OF THE SOCIAL SECURITY ACT PROVIDES THAT THE STATES MUST COMPLY WITH REGULATIONS RELATING TO PAYMENTS AND REPORTS. THIS FORM IS USED FOR ESSENTIALLY THREE DIFFERENT PURPOSES: (A) ACCOMPANIE DEPOSITS, (B) ACCOMPANIES WAGE REPORTS, AND (C) ACCOMPANIES CORRECTION OF PREVIOUS DEPOSIT OR WAGE REPORTS.

None
None


No

1
IC Title Form No. Form Name
STATE CONTRIBUTION RETURN SSA-3961, (1-81)

  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 10,032 0 0 0 10,032 0
Annual Time Burden (Hours) 502 0 0 0 502 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.
06/14/1982


© 2024 OMB.report | Privacy Policy