COMPLIANCE WITH PASS-ALONG

ICR 199408-0960-003

OMB: 0960-0240

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
115099 Migrated
ICR Details
0960-0240 199408-0960-003
Historical Active 199107-0960-003
SSA
COMPLIANCE WITH PASS-ALONG
Extension without change of a currently approved collection   No
Regular
Approved without change 10/25/1994
Retrieve Notice of Action (NOA) 08/17/1994
  Inventory as of this Action Requested Previously Approved
11/30/1997 11/30/1997 08/31/1994
71 0 71
71 0 71
0 0 0

THE CODE OF FEDERAL REGULATIONS (CFR), 20 CFR 416.2099, GRANTS THE SOCIAL SECURITY ADMINISTRATION (SSA) THE AUTHORITY TO REQUEST COST-OF-LIVING ADJUSTMENT PASS-ALONG INFORMATION FROM THOSE STATES WHI ADMINISTER THEIR OWN SUPPLEMENTARY PAYMENTS PROGRAMS. WITHOUT THIS AUTHORITY, SSA WOULD BE UNABLE TO DETERMINE THAT THOSE STATES HAVE COMPLIED WITH THE REQUIREMENT TO MEET CERTAIN SUPPLEMENTARY

None
None


No

1
IC Title Form No. Form Name
COMPLIANCE WITH PASS-ALONG 416.2099, SSA-F-20

  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 71 71 0 0 0 0
Annual Time Burden (Hours) 71 71 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.
08/17/1994


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