REQUEST TO OBTAIN CERTAIN FINANCIAL DATA FROM STATES WHICH ADMINISTER THEIR OWN SUPPLEMENTARY PAYMENTS PROGRAM(S)

ICR 198906-0960-026

OMB: 0960-0240

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0240 198906-0960-026
Historical Active 198806-0960-006
SSA
REQUEST TO OBTAIN CERTAIN FINANCIAL DATA FROM STATES WHICH ADMINISTER THEIR OWN SUPPLEMENTARY PAYMENTS PROGRAM(S)
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/28/1989
Approved with change 06/28/1989
Retrieve Notice of Action (NOA) 06/28/1989
  Inventory as of this Action Requested Previously Approved
08/31/1991 08/31/1991 08/31/1991
71 0 71
71 0 71
0 0 0

THE INFORMATION COLLECTED BY THIS REGULATION IS USED BY THE SOCIAL SECURITY ADMINISTRATION TO DETERMINE IF CERTAIN STATES ARE IN COMPLIAN WITH THE "PASS-ALONG" PROVISIONS OF THE SOCIAL SECURITY ACT. THE AFFECTED PUBLIC IS COMPRISED OF STATES WHICH SUPPLEMENT THE FEDERAL SUPPLEMENTAL SECURITY INCOME BENEFIT AND ARE THEREFORE REQUIRED TO

None
None


No

1
IC Title Form No. Form Name
REQUEST TO OBTAIN CERTAIN FINANCIAL DATA FROM STATES WHICH ADMINISTER THEIR OWN SUPPLEMENTARY PAYMENTS PROGRAM(S) SSA-F-20, 416.2099

  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 71 71 0 0 0 0
Annual Time Burden (Hours) 71 71 0 0 0 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.
06/28/1989


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