REPORT TO U.S. SOCIAL SECURITY ADMINISTRATION BY PERSON RECEIVING BENEFITS FOR A CHILD OR FOR AN ADULT UNABLE TO HANDLE FUNDS, SSA-7161-C1, RPT. TO U.S. SSA, SSA-7162-C1
ICR 198308-0960-001
OMB: 0960-0049
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0049 can be found here:
REPORT TO U.S. SOCIAL
SECURITY ADMINISTRATION BY PERSON RECEIVING BENEFITS FOR A CHILD OR
FOR AN ADULT UNABLE TO HANDLE FUNDS, SSA-7161-C1, RPT. TO U.S. SSA,
SSA-7162-C1
APPROVED WITH
THE ADDITION OF A STATEMENT IN THE INSTRUCTIONS ON "OTHER
REPORTABLE EVENTS" AND A REVISION OF THE PRIVACY ACT STATEMENT TO
INDICATE THAT ALL QUESTIONS ARE REQUIRED TO DETERMINE
ELIGIBILITY.
Inventory as of this Action
Requested
Previously Approved
08/31/1986
08/31/1986
11/30/1983
325,000
0
240,000
27,083
0
20,000
0
0
0
THE INFORMATION ELICITED BY THE USE OF
THESE FORMS IS NEEDED TO ENABLE SSA TO DETERMINE THE CONTINUING
ENTITLEMENT TO SOCIAL SECURITY BENEFIT AND THE PROPER BENEFIT
AMOUNTS OF BENEFICIARIES LIVING OUTSIDE THE U.S. THE AFFECTED
PUBLIC IS COMPRISED OF PERSONS LIVING OUTSIDE THE U.S. WHO ARE
ENTITLED TO BENEFITS UNDER TITLE II OF THE SOCIAL SECURIT
ACT.
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.