RECAPITULATION OF STATE'S REPORT OF WAGES PAID

ICR 198708-0960-001

OMB: 0960-0042

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
114387 Migrated
ICR Details
0960-0042 198708-0960-001
Historical Active 198511-0960-009
SSA
RECAPITULATION OF STATE'S REPORT OF WAGES PAID
Revision of a currently approved collection   No
Regular
Approved without change 10/21/1987
Retrieve Notice of Action (NOA) 08/21/1987
  Inventory as of this Action Requested Previously Approved
10/31/1990 10/31/1990 10/31/1987
1,508 0 2,000
301 0 400
0 0 0

THE INFORMATION COLLECTED BY USE OF THE FORM SSA-3962 IS NEEDED TO SUMMARIZE INFORMATION ON STATE WAGE REPORTS FOR PERIODS PRIOR TO 1982. IT ALSO SERVES TO CONTROL AND VERIFY WAGE TOTALS ON FORMS SSA-3963 AND SSA-3964 AND TO CONTROL DEPOSIT INFORMATION ON FORM SSA-3961. THE AFFECTED PUBLIC IS COMPRISED OF STATE AGENCIES RESPONSIBLE FOR REPORTING WAGES PAID TO STATE EMPLOYEES AND TO

None
None


No

1
IC Title Form No. Form Name
RECAPITULATION OF STATE'S REPORT OF WAGES PAID SSA-3962, (11-80)

  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 1,508 2,000 0 -492 0 0
Annual Time Burden (Hours) 301 400 0 -99 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.
08/21/1987


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