REFERRAL AND TREATMENT STATUS OF SSI DRUG ADDICTS OR ALCOHOLICS

ICR 199102-0960-014

OMB: 0960-0331

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
0960-0331 199102-0960-014
Historical Active 199011-0960-004
SSA
REFERRAL AND TREATMENT STATUS OF SSI DRUG ADDICTS OR ALCOHOLICS
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/28/1991
Approved with change 02/28/1991
Retrieve Notice of Action (NOA) 02/28/1991
  Inventory as of this Action Requested Previously Approved
01/31/1994 01/31/1994 01/31/1994
27,000 0 27,000
4,500 0 4,500
0 0 0

THE INFORMATION COLLECTED BY THIS FORM ALLOWS THE SOCIAL SECURITY ADMINISTRATION TO REFER AND MONITOR THE TREATMENT OF DRUG ADDICTS OR ALCOHOLICS. THE RESPONDENTS ARE STATE AGENCIES WHO HAVE AGREED TO REF AND MONITOR SUCH TREATMENT.

None
None


No

1
IC Title Form No. Form Name
REFERRAL AND TREATMENT STATUS OF SSI DRUG ADDICTS OR ALCOHOLICS SSA-8740

  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 27,000 27,000 0 0 0 0
Annual Time Burden (Hours) 4,500 4,500 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.
02/28/1991


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