Information Collection

Beneficiary Interview and Auditor's Observations

IC 9652 under ICR 200104-0960-001 · OMB 0960-0630.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0630 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Beneficiary Interview and Auditor's Observations	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-322				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	200	50	150
Annual IC Time Burden (Hours)	50	12	38
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.