MONTHLY STATISTICAL REPORT ON RECIPIENTS AND PAYMENTS UNDER STATE ADMINISTERED ASSISTANCE PROGRAMS FOR AGED, BLIND, AND DISABLED (INDIVIDUALS AND COUPLES) RECIPIENTS

ICR 198402-0960-009

OMB: 0960-0130

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0130 198402-0960-009
Historical Active 198303-0960-007
SSA
MONTHLY STATISTICAL REPORT ON RECIPIENTS AND PAYMENTS UNDER STATE ADMINISTERED ASSISTANCE PROGRAMS FOR AGED, BLIND, AND DISABLED (INDIVIDUALS AND COUPLES) RECIPIENTS
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/21/1984
Approved with change 02/21/1984
Retrieve Notice of Action (NOA) 02/21/1984
  Inventory as of this Action Requested Previously Approved
04/30/1986 04/30/1986 04/30/1986
104 0 104
312 0 416
0 0 0

INFORMATION IS USED TO PROVIDE STATISTICAL DATA ON RECIPIENTS AND ASSISTANCE PAYMENTS UNDER THE SSI STATE-ADMINISTERED STATE SUPPLEMENTATION PROGRAMS. THESE DATA ARE NEEDED TO COMPLEMENT THE DATA AVAILABLE FOR THE FEDERALLY-ADMINISTERED PROGRAMS UNDER SSI AND TO MORE FULLY EXPLAIN THE IMPACT OF THE PUBLIC INCOME SUPPORT PROGRAMS ON THE NEEDY AGED, BLIND, AND DISABLED.

None
None


No

  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 104 104 0 0 0 0
Annual Time Burden (Hours) 312 416 0 -104 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
02/21/1984


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