Information Collection

Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

IC 8961 under ICR 200702-0960-004 · OMB 0960-0049.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0049 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-7161-OCR-SM Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	Form
SSA-7161-OCR-SM Report to U.S. SSA by Person Receiving Benefits for a Ch Form SSA-7161-OCR-SM (03-2004).pdf	Form
Form SSA-7161-INST (03-2004).pdf Form SSA-7161-INSTRUCTIONS	IC Document
PRA Statement.doc PRA Statement	IC Document

IC Title:

Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	SSA-7161-OCR-SM	Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	Form SSA-7161-OCR-SM (03-2004).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30,000

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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30,000	-227,000	257,000
Annual IC Time Burden (Hours)	7,500	-18,917	26,417
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form SSA-7161-INSTRUCTIONS	Form SSA-7161-INST (03-2004).pdf	05/09/2007
PRA Statement	PRA Statement.doc	05/09/2007

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