Information Collection

Rsi/di Quality Review Case Analysis (insured Individual, Spouse/surviving Spouse, Children/parent), Annual Earnings Test

IC 166710 under ICR 198309-0960-009 · OMB 0960-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0189 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	RSI/DI QUALITY REVIEW CASE ANALYSIS (INSURED INDIVIDUAL, SPOUSE/SURVIVING SPOUSE, CHILDREN/PARENT), ANNUAL EARNINGS TEST	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SSA-2930,	No	No
Form	2931, 2932,	No	No
Form	4659	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,650	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18,650	6,000	12,650
Annual IC Time Burden (Hours)	4,959	201	4,758
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.