STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS

ICR 199202-0960-001

OMB: 0960-0416

Federal Form Document

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ICR Details
0960-0416 199202-0960-001
Historical Active 199105-0960-007
SSA
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS
Revision of a currently approved collection   No
Regular
Approved without change 03/23/1992
Retrieve Notice of Action (NOA) 02/06/1992
This information collection is approved through 3-94 under the following condition: SSA will modify the burden estimate statement to reflect the Agency's decision to change it to 17 minutes.
  Inventory as of this Action Requested Previously Approved
03/31/1994 03/31/1994 03/31/1992
514,000 0 554,000
145,633 0 110,800
0 0 0

THE INFORMATION IS USED TO CONDUCT A REDETERMINATION OF A RECIPIENT'S CONTINUINING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME (SSI) PAYMEN AND PAYMENT AMOUNT. THE RESPONDENTS ARE SELECTED SSI RECIPIENTS.

None
None


No

1
IC Title Form No. Form Name
STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS SSA-8203

  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 514,000 554,000 0 0 -40,000 0
Annual Time Burden (Hours) 145,633 110,800 0 0 34,833 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.
02/06/1992


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