APPLICATION FOR SEARCH OF CENSUS RECORDS FOR PROOF OF AGE

ICR 198505-0960-002

OMB: 0960-0097

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0097 198505-0960-002
Historical Active 198210-0960-001
SSA
APPLICATION FOR SEARCH OF CENSUS RECORDS FOR PROOF OF AGE
Revision of a currently approved collection   No
Regular
Approved without change 06/17/1985
Retrieve Notice of Action (NOA) 05/30/1985
  Inventory as of this Action Requested Previously Approved
06/30/1988 06/30/1988 10/31/1985
70,000 0 120,000
14,000 0 24,000
0 0 0

SOCIAL SECURITY BENEFITS. RETIREMENT BENEFITS. THE INFORMATION COLLECTED BY THE USE OF FORM SSA-1535 IS NEEDED TO PROVIDE THE CENSUS BUREAU SUFFICIENT IFENTIFYING INFORMATION TO ALLOW ACCURATE SEARCH OF CENSUS RECORDS FOR PROOF OF AGE OF AN INDIVIDUAL. THE AFFECTED PUBLIC IS COMPRISED OF INDIVIDUALS WHO NEED TO OBTAIN A CENSUS RECORD IN ORDE TO PROVE THEIR AGE.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR SEARCH OF CENSUS RECORDS FOR PROOF OF AGE SSA-1535

  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 70,000 120,000 0 -50,000 0 0
Annual Time Burden (Hours) 14,000 24,000 0 -10,000 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.
05/30/1985


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