Reporting Events SSI, 20 CFR 416.701-.732

ICR 200502-0960-007

OMB: 0960-0128

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
9105 Migrated
ICR Details
0960-0128 200502-0960-007
Historical Active 200202-0960-003
SSA
Reporting Events SSI, 20 CFR 416.701-.732
Extension without change of a currently approved collection   No
Regular
Approved without change 03/15/2005
Retrieve Notice of Action (NOA) 02/10/2005
  Inventory as of this Action Requested Previously Approved
03/31/2008 03/31/2008 03/31/2005
30,180 0 33,200
2,515 0 2,767
0 0 0

Supplemental Security Income (SSI) applicants, recipients, and their representative payees use the SSA-8150-EV (or the Spanish version) to report by mail changes in circumstances that could affect eligibility and/or payment amounts of SSI. SSA uses the reported changes on the form to determine eligibility and correct payment amounts for SSI payments. SSI payments may include federally administered optional State supplementary payments.

None
None


No

1
IC Title Form No. Form Name
Reporting Events SSI, 20 CFR 416.701-.732 SSA-8150-EV

  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 30,180 33,200 0 0 -3,020 0
Annual Time Burden (Hours) 2,515 2,767 0 0 -252 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.
02/10/2005


© 2024 OMB.report | Privacy Policy