STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS

ICR 198309-0960-003

OMB: 0960-0145

Federal Form Document

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ICR Details
0960-0145 198309-0960-003
Historical Active 198207-0960-017
SSA
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS
Revision of a currently approved collection   No
Regular
Approved without change 10/13/1983
Retrieve Notice of Action (NOA) 09/13/1983
  Inventory as of this Action Requested Previously Approved
10/31/1986 10/31/1986 01/31/1984
2,000,000 0 2,000,000
266,667 0 200,000
0 0 0

THIS FORM ELICITS INFORMATION NEEDED DURING PERIODIC SSI REDETERMINATIONS TO REEVALUATE FACTORS OF ELIGIBILITY, DETERMINE CONTINUING ELIGIBILITY AND PAYMENT AMOUNT FOR SSI RECIPIENTS. THE AFFECTED PUBLIC IS COMPRISED OF AGED, BLIND AND DISABLED SSI RECIPIENTS.

None
None


No

1
IC Title Form No. Form Name
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS SSA-8202

  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 2,000,000 2,000,000 0 0 0 0
Annual Time Burden (Hours) 266,667 200,000 0 66,667 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.
09/13/1983


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