Information Collection

Rsi/di Quality Review Case Analysis -- Sampled Number Holder, Survivors/auxiliaries, Parent, And Annual Earnings Test

IC 115027 under ICR 199205-0960-003 · OMB 0960-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0189 can be found here:

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Information Collection (IC) Details

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IC Title:	RSI/DI QUALITY REVIEW CASE ANALYSIS -- SAMPLED NUMBER HOLDER, SURVIVORS/AUXILIARIES, PARENT, AND ANNUAL EARNINGS TEST	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SSA-2930	No	No
Form	2931	No	No
Form	2932	No	No
Form	4659	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,612	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15,612	0	15,612
Annual IC Time Burden (Hours)	6,248	4	6,244
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.