Continuation of Full Benefit Standard for Persons Institutionalized - 20 CFR Subpart B 416.212(b)(1)

ICR 200402-0960-001

OMB: 0960-0516

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0516 200402-0960-001
Historical Active 200208-0960-003
SSA
Continuation of Full Benefit Standard for Persons Institutionalized - 20 CFR Subpart B 416.212(b)(1)
Extension without change of a currently approved collection   No
Regular
Approved without change 03/05/2004
Retrieve Notice of Action (NOA) 02/02/2004
  Inventory as of this Action Requested Previously Approved
03/31/2007 03/31/2007 03/31/2004
60,000 0 60,000
5,000 0 5,000
0 0 0

SSA is required by law to establish procedures for collecting information on whether an SSI recipient who becomes institutionalized (e.g., hospital, nursing home) may be eligible for continued benefits, based on the full federal benefit rate, if a physician certifies that he expects the period of medical confinement will last no more than 90 days. The respondents are applicants for SSI benefits.

None
None


No

1
IC Title Form No. Form Name
Continuation of Full Benefit Standard for Persons Institutionalized - 20 CFR Subpart B 416.212(b)(1)

  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 60,000 60,000 0 0 0 0
Annual Time Burden (Hours) 5,000 5,000 0 0 0 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.
02/02/2004


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