STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS

ICR 198612-0960-005

OMB: 0960-0131

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
0960-0131 198612-0960-005
Historical Active 198604-0960-008
SSA
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS
Revision of a currently approved collection   No
Regular
Approved without change 02/04/1987
Retrieve Notice of Action (NOA) 12/11/1986
  Inventory as of this Action Requested Previously Approved
02/28/1990 02/28/1990 06/30/1989
720,000 0 1,000,000
300,000 0 400,000
0 0 0

THE INFORMATION COLLECTED BY USE OF THE FORM SSA-8200 IS NEEDED AND USED T ELICI-MINIMAL INFORMATION FROM SSI RECIPIENTS IN ORDER TO DETERMINE CONTINUING ELIGIBILITY FOR BENEFITS AND TO CORRECT PAYMENT AMOUNTS, IF NECESSARY. THE AFFECTED PUBLIC IS COMPRISED OF RECIPIENTS OF SSI PAYMENTS.

None
None


No

1
IC Title Form No. Form Name
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS SSA-8200-BK

  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 720,000 1,000,000 0 -234,080 -45,920 0
Annual Time Burden (Hours) 300,000 400,000 0 -83,600 -16,400 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.
12/11/1986


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