APPLICATION FOR RETIREMENT INSURANCE BENEFITS

ICR 199211-0960-001

OMB: 0960-0007

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
114193 Migrated
ICR Details
0960-0007 199211-0960-001
Historical Active 199207-0960-001
SSA
APPLICATION FOR RETIREMENT INSURANCE BENEFITS
Extension without change of a currently approved collection   No
Regular
Approved without change 12/17/1992
Retrieve Notice of Action (NOA) 11/23/1992
  Inventory as of this Action Requested Previously Approved
01/31/1995 01/31/1995 08/31/1992
1,560,000 0 1,560,000
273,000 0 273,000
0 0 0

THE INFORMATION IS USED BY THE SOCIAL SECURITY ADMINISTRATION TO DETERMINE AN APPLICANT'S ELIGIBILITY FOR RETIREMENT INSURANCE BENEFITS THE RESPONDENTS ARE INDIVIDUALS APPLYING FOR RETIREMENT INSURANCE AND IS COMPRISED OF INDIVIDUALS WHO FILE APPLICATIONS FOR RETIREMENT BENEFITS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR RETIREMENT INSURANCE BENEFITS SSA-1

  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 1,560,000 1,560,000 0 0 0 0
Annual Time Burden (Hours) 273,000 273,000 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.
11/23/1992


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