Information Collection

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments

IC 9133 under ICR 199710-0960-001 · OMB 0960-0145.

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Information Collection (IC) Details

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IC Title:	Statement for Determining Continuing Eligibility for Supplemental Security Income Payments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-8202-F6				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 818,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	818,000	18,000	800,000
Annual IC Time Burden (Hours)	149,967	16,634	133,333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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