AGREEMENT TO SELL PROPERTY

ICR 198907-0960-003

OMB: 0960-0127

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
114789 Migrated
ICR Details
0960-0127 198907-0960-003
Historical Active 198607-0960-002
SSA
AGREEMENT TO SELL PROPERTY
Extension without change of a currently approved collection   No
Regular
Approved without change 09/05/1989
Retrieve Notice of Action (NOA) 07/05/1989
  Inventory as of this Action Requested Previously Approved
09/30/1992 09/30/1992 08/31/1989
20,000 0 20,000
3,333 0 3,333
0 0 0

INDIVIDUALS OR COUPLES WHO ARE OTHERWISE ELIGIBLE FOR SUPPLEMENTAL SECURITY INCOME BENEFITS, BUT WHOSE RESOURCES EXCEED THE ALLOWABLE LIMIT, MAY RECEIVE CONDITIONAL PAYMENTS IF THEY AGREE TO DISPOSE SSA-8060 IS USED TO DOCUMENT THIS AGREEMENT AND TO ENSURE THAT THE INDIVIDUALS UNDERSTAND THEIR OBLIGATIONS.

None
None


No

1
IC Title Form No. Form Name
AGREEMENT TO SELL PROPERTY SSA-8060-U3

  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 20,000 20,000 0 0 0 0
Annual Time Burden (Hours) 3,333 3,333 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.
07/05/1989


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