Quarterly Statistical Report on Recipients and Payments under State-Administered Assistance Programs for Aged....

ICR 199901-0960-002

OMB: 0960-0130

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0130 199901-0960-002
Historical Active 199602-0960-002
SSA
Quarterly Statistical Report on Recipients and Payments under State-Administered Assistance Programs for Aged....
Extension without change of a currently approved collection   No
Regular
Approved without change 03/11/1999
Retrieve Notice of Action (NOA) 01/21/1999
  Inventory as of this Action Requested Previously Approved
05/31/2002 05/31/2002 04/30/1999
120 0 92
120 0 92
0 0 0

The information collected on SSA-9741 is used to provide statistical data on recipients and assistance payments under the SSI State-administered, State supplementation programs. The data is needed to complement information available for the federally administered programs under SSA and to fully explain the impact of the public income support program on the needy, aged, blind, and disabled. The respondents are State agencies who administer supplementary payment programs under SSI.

None
None


No

1
IC Title Form No. Form Name
Quarterly Statistical Report on Recipients and Payments under State-Administered Assistance Programs for Aged.... SSA-9741

  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 120 92 0 0 28 0
Annual Time Burden (Hours) 120 92 0 0 28 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.
01/21/1999


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