ANNUAL EARNINGS OPERATION DIRECT MAIL FOLLOWUP PROGRAM

ICR 199303-0960-009

OMB: 0960-0369

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
115406 Migrated
ICR Details
0960-0369 199303-0960-009
Historical Active 199004-0960-006
SSA
ANNUAL EARNINGS OPERATION DIRECT MAIL FOLLOWUP PROGRAM
Extension without change of a currently approved collection   No
Regular
Approved without change 06/10/1993
Retrieve Notice of Action (NOA) 03/26/1993
  Inventory as of this Action Requested Previously Approved
07/31/1996 07/31/1996 04/30/1993
400,000 0 400,000
66,667 0 66,667
0 0 0

THE INFORMATION COLLECTED BY THESE FORMS WILL BE USED TO DETERMINE IF THE RECIPIENTS HAVE UNDERESTIMATED THEIR EARNINGS FOR THE CURRENT YEAR THIS WILL ALLOW BENEFITS TO BE WITHHELD IF NECESSARY, AND WILL THEREBY AVOID MANY OVERPAYMENTS. THE AFFECTED PUBLIC IS COMPRISED OF SIX GROU OF BENEFICIARIES WHO ARE MOST LIKELY TO BE OVERPAID BECAUSE OF UNDERESTIMATING OR NONREPORTING OF EARNINGS.

None
None


No

1
IC Title Form No. Form Name
ANNUAL EARNINGS OPERATION DIRECT MAIL FOLLOWUP PROGRAM SSA-L9778, L9779, L9780, L9781

  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 400,000 400,000 0 0 0 0
Annual Time Burden (Hours) 66,667 66,667 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.
03/26/1993


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