State Supplementation Provisions, Agreement, Payments -- 20 CFR 416.2099 Subpart T

ICR 199709-0960-009

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
ICR Details
0960-0240 199709-0960-009
Historical Active 199408-0960-003
SSA
State Supplementation Provisions, Agreement, Payments -- 20 CFR 416.2099 Subpart T
Extension without change of a currently approved collection   No
Regular
Approved without change 11/19/1997
Retrieve Notice of Action (NOA) 09/25/1997
  Inventory as of this Action Requested Previously Approved
11/30/2000 11/30/2000 11/30/1997
71 0 71
71 0 71
0 0 0

Section 1618 of the Social Security Act contains pass-along provisions of the social security amendments. These provisions require that States, which supplement the Federal SSI benefit pass along Federal cost-of-living increases to individuals who are eligible for State supplementary payments. If a State fails to keep payments at the required level, it becomes ineligible for Medicaid reimbursement under title XIX of the Social Security Act.

None
None


No

1
IC Title Form No. Form Name
State Supplementation Provisions, Agreement, Payments -- 20 CFR 416.2099 Subpart T

  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.
09/25/1997


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