State Report of Incorrect Bendex Information

ICR 199908-0960-004

OMB: 0960-0517

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
9424 Migrated
ICR Details
0960-0517 199908-0960-004
Historical Active 199708-0960-013
SSA
State Report of Incorrect Bendex Information
Extension without change of a currently approved collection   No
Regular
Approved without change 09/30/1999
Retrieve Notice of Action (NOA) 08/11/1999
  Inventory as of this Action Requested Previously Approved
09/30/2002 09/30/2002 09/30/1999
246 0 100
41 0 1
0 0 0

SSA uses the information collected on Form SSA-1086 to correct its master database and to facilitate the electronic exchange of data. The respondents are State agencies administering programs for Aid to Families with Dependent Children.

None
None


No

1
IC Title Form No. Form Name
State Report of Incorrect Bendex Information SSA-1086-U5

  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 246 100 0 0 146 0
Annual Time Burden (Hours) 41 1 0 0 40 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.
08/11/1999


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