Information Collection

Case Plan -- Sections 422, 471(a)(16), 475(1), and 475(5)(A) of the Social Security Act

IC 10174 under ICR 199612-0980-001 · OMB 0980-0140.

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Information Collection (IC) Details

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IC Title:	Case Plan -- Sections 422, 471(a)(16), 475(1), and 475(5)(A) of the Social Security Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 468,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1,872,000	1,872,000
Annual IC Cost Burden (Dollars)	0	0

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