THIRD PARTY QUERY INPUT

ICR 198508-0960-023

OMB: 0960-0340

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
166791 Migrated
ICR Details
0960-0340 198508-0960-023
Historical Active 198408-0960-044
SSA
THIRD PARTY QUERY INPUT
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
08/31/1986 08/31/1986 08/31/1986
4,000,000 0 1
33,333 0 0
0 0 0

THE INFORMATION COLLECTED IS NEEDED AND USED TO SEARCH AND RETRIEVE SPECIFIC DATA ABOUT BENEFICIARIES/RECIPIENTS TO BE RELEASED TO THIRD PARTY REQUESTERS. THIRD PARTY REQUESTERS INCLUDE STATE AND COUNTY WELFARE OFFICES, HOUSING AUTHORITIES AND ENERGY ASSISTANCE AGENCIES.

None
None


No

1
IC Title Form No. Form Name
THIRD PARTY QUERY INPUT SSA-491-TC

  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 4,000,000 1 0 3,999,999 0 0
Annual Time Burden (Hours) 33,333 0 0 33,333 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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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