Information Collection

Instructions for Completion of Federal Assistance Application Form SSA-96 for Social Security Administration Research and Demonstration Grant Programs

IC 9148 under ICR 200002-0960-005 · OMB 0960-0184.

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Information Collection (IC) Details

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IC Title:	Instructions for Completion of Federal Assistance Application Form SSA-96 for Social Security Administration Research and Demonstration Grant Programs	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-96				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	113	37
Annual IC Time Burden (Hours)	2,100	1,582	518
Annual IC Cost Burden (Dollars)	0	0	0

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