RECORD OF SSI INQUIRY

ICR 198406-0960-001

OMB: 0960-0140

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
114855 Migrated
ICR Details
0960-0140 198406-0960-001
Historical Active 197907-0960-003
SSA
RECORD OF SSI INQUIRY
Revision of a currently approved collection   No
Regular
Approved without change 07/20/1984
Retrieve Notice of Action (NOA) 06/01/1984
  Inventory as of this Action Requested Previously Approved
07/31/1987 07/31/1987 07/31/1984
550,000 0 152,000
55,000 0 15,200
0 0 0

THE INFORMATION COLLECTED BY USE OF THE FORM SSA-3462 IS NEEDED TO PROTECT THE FILING DATE FOR SSI BENEFITS OF INDIVIDUALS WHO INQUIRE VI TELEPHONE OR IN PERSON. THE AFFECTED PUBLIC IS COMPRISED OF POTENTIAL SSI BENEFICIARIES WHO INQUIRE ABOUT BENEFITS VIA THE TELEPHONE OR AT T DISTRICT OFFICE.

None
None


No

1
IC Title Form No. Form Name
RECORD OF SSI INQUIRY SSA-3462

  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 550,000 152,000 0 0 398,000 0
Annual Time Burden (Hours) 55,000 15,200 0 0 39,800 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.
06/01/1984


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