Information Collection

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments

IC 9267 under ICR 200108-0960-011 · OMB 0960-0416.

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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-8203-BK				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 920,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	920,000	0	920,000
Annual IC Time Burden (Hours)	276,000	15,333	260,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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