Statement for Determining Continuing Eligibility for Supplemental Security Income (SSI) Payments-Adult Statement for Determining Continuing Eligiblity for SSI payments - Child

Statement for Determining Continuing Eligibility for Supplemental Security Income (SSI) Payments-Adult Statement for Determining Continuing Eligiblity for SSI payments - Child

OMB: 0960-0643

IC ID: 9676

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Statement for Determining Continuing Eligibility for Supplemental Security Income (SSI) Payments-Adult Statement for Determining Continuing Eligiblity for SSI payments - Child
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-3989(TEST) No No
Form SSA-3988(TEST) No No


    

55,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 55,000 0 35,000 0 0 20,000
Annual IC Time Burden (Hours) 18,333 0 11,666 0 0 6,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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