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Report of Function, Adult

IC 166883 under ICR 199504-0960-008 · OMB 0960-0539.

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Information Collection (IC) Details

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Report of Function, Adult
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-3373 No No


    

2,264,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,264,000 0 100,000 0 0 2,164,000
Annual IC Time Burden (Hours) 566,000 0 25,000 0 0 541,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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