Inquiry to File an SSI Child's Application

ICR 199602-0960-003

OMB: 0960-0557

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
9482 Migrated
ICR Details
0960-0557 199602-0960-003
Historical Active
SSA
Inquiry to File an SSI Child's Application
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/16/1996
Retrieve Notice of Action (NOA) 02/15/1996
This information collection is approved through 5-99 under the following condition: As part of the analysis of these pilot projects, SSA will include an assessment of the burden impact and costs to hospitals of implementing this form.
  Inventory as of this Action Requested Previously Approved
04/30/1999 04/30/1999
2,100 0 0
350 0 0
0 0 0

The information collected will be used by SSA to document the earliest possible filing date and to determine potential eligibility for SSI child's benefits. The respondents are claimants for SSI benefits.

None
None


No

1
IC Title Form No. Form Name
Inquiry to File an SSI Child's Application SSA-293

  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 2,100 0 0 2,100 0 0
Annual Time Burden (Hours) 350 0 0 350 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
02/15/1996


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