Information Collection

SSA & SSI Check Recipient Survey

IC 181946 under ICR 200610-1510-001 · OMB 1510-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSI and SSA Go Direct Survey 8-31-07 Final.doc	Instruction
SSI and SSA Go Direct Survey 8-31-07 Final.doc Justification for SSI & SSA Survey	IC Document

IC Title:

SSA & SSI Check Recipient Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			SSI and SSA Go Direct Survey 8-31-07 Final.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	2,000	0	0	0	0	0
Annual IC Time Burden (Hours)	497	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for SSI & SSA Survey	SSI and SSA Go Direct Survey 8-31-07 Final.doc	09/11/2007

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