Information Collection

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

IC 166712 under ICR 199401-0960-009 · OMB 0960-0189.

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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:

table that charts list of 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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	15,612	15,612
Annual IC Time Burden (Hours)	6,248	6,248
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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