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Federal forms, ICRs, and supporting documents

Information Collection

Statement for Determining Continuing Eligibility for Supplemental Security Income Payment--Adult/Statement for Determining Continuing Eligibility for Supplemental Security Income.....

IC 9678 under ICR 200705-0960-008 · OMB 0960-0643.

Documents and Forms
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Document Type
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Other-Fact Sheet
Instruction
Other-Fact Sheet
Instruction
Other-Fact Sheet
Instruction
Other-Fact Sheet
Instruction
Form
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Form
Information Collection (IC) Details

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Statement for Determining Continuing Eligibility for Supplemental Security Income Payment--Adult/Statement for Determining Continuing Eligibility for Supplemental Security Income.....
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.204

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-3989 Statement for Determining Continuing Eligility for Supplemental Security Income Payments-Child eRZs Child SSA-3989 02-26-07.pdf No   Paper Only
Form SSA-3988 Statement for Determining Continuing Eligibility for Supplemental Security Income Payments eRZs Adult SSA-3988 04-26-07.pdf No   Paper Only
Form SSA-3988 non profile w STATEMENT FOR DETERMINING CONTINUING ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME PAYMENTS eRZs Adult SSA-3988 non profile w.pdf No   Paper Only
Other-Fact Sheet SSA-3988-OCR-SM-FST-FAC.pdf No   Paper Only
Instruction SSA-3988-OCR-SM-FST-INST.pdf No   Paper Only
Other-Fact Sheet SSA-3988-OCR-SM-NFST-FAC.pdf No   Paper Only
Instruction SSA-3988-OCR-SM-NFST-INST.pdf No   Paper Only
Other-Fact Sheet SSA-3989-OCR-SM-FST-FAC.pdf No   Paper Only
Instruction SSA-3989-OCR-SM-FST-INST.pdf No   Paper Only
Other-Fact Sheet SSA-3989-OCR-SM-NFST-FAC.pdf No   Paper Only
Instruction SSA-3989-OCR-SM-NFST-INST.pdf No   Paper Only

Income Security General Retirement and Disability

 

60,000 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 60,000 0 -655,000 0 0 715,000
Annual IC Time Burden (Hours) 26,000 0 -283,834 0 0 309,834
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.