STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS SSA-8203

ICR 198408-0960-020

OMB: 0960-0361

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0361 198408-0960-020
Historical Active 198312-0960-002
SSA
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS SSA-8203
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/02/1984
Approved with change 08/02/1984
Retrieve Notice of Action (NOA) 08/02/1984
  Inventory as of this Action Requested Previously Approved
12/31/1984 12/31/1984 12/31/1984
16,000 0 18,000
4,000 0 4,500
0 0 0

THE COLLECTED INFO. WILL BE USED IN A TEST TO DETERMINE CONTINUING ELIGIBILITY FOR SSI PAYMENTS AND TO DETERMINE THE CORRECT AMOUNT OF SS PAYMENTS.

None
None


No

1
IC Title Form No. Form Name
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS SSA-8203 SSA-8203

  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 16,000 18,000 0 -2,000 0 0
Annual Time Burden (Hours) 4,000 4,500 0 -500 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.
08/02/1984


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