1985 SUPPLEMENTAL SECURITY INCOME SURVEY AND QUESTIONNAIRE

ICR 198508-0960-010

OMB: 0960-0389

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
166832
Migrated
ICR Details
0960-0389 198508-0960-010
Historical Active 198501-0960-002
SSA
1985 SUPPLEMENTAL SECURITY INCOME SURVEY AND QUESTIONNAIRE
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/15/1985
Approved with change 08/15/1985
Retrieve Notice of Action (NOA) 08/15/1985
  Inventory as of this Action Requested Previously Approved
06/30/1986 06/30/1986 06/30/1986
150 0 11,200
150 0 7,600
0 0 0

THIS PROJECT IS NEEDED TO PROVIDE NATIONAL ESTIMATES FOR SUPPLEMENTAL SECURITY INCOME (SSI) RECIPIENTS AND AGEND INDIVIDUALS IN PRIVATE RESIDENCES, INSTITUTIONS AND RESIDENTIAL CARE FACILITIES FOR SSI PROGRAM PLANNING AND EVALUATION PURPOSES. THE AFFECTED PUBLIC CONSISTS OF A RANDOMLY SELECTED GROUP OF SSI RECIPIENTS AND REPRESENTATIVES OF INSTITUTIONS IN WHICH SSI RECIPIENTS RESIDE.

None
None


No

1
IC Title Form No. Form Name
1985 SUPPLEMENTAL SECURITY INCOME SURVEY AND QUESTIONNAIRE

  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 150 11,200 0 0 -11,050 0
Annual Time Burden (Hours) 150 7,600 0 0 -7,450 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.
08/15/1985


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