Information Collection Request

Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook

ICR 200801-0960-002 · OMB 0960-0189 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-2930 RSI/DI Quality Review Case Analysis - Sampled Number Holder Form Modified Repair queued
Form SSA-2935 Authorization to the Social Security Administration to Obtain Personal Informaition Form and Instruction New Repair queued
Form SSA-85 Information Needed to Review Your Social Security Claim Form New Repair queued
Form SSA-8552 Interview Confirmation Form New Available
Form SSA-4659 Stewardship Annual Earnings Test Workbook Form New Available
Form SSA-2932 RSI/DI Quality Review Case Analysis � Parent Form New Repair queued
Form SSA-2931 RSI/DI Quality Review Case Analysis - Auxiliaries/Survivors Form New Available
Chart Explaining the Changes to the 0960-0189 (2).doc Supplementary Document Uploaded 2008-05-20 Available
supporting_statement_--_0189_(F).doc Supporting Statement A Uploaded 2008-02-27 Available
Supporting Statement Part B--0189.doc Supporting Statement B Uploaded 2008-02-26 Available
Addendum--0189.doc Supplementary Document Uploaded 2008-02-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9153 SSA-2930 Form ModifiedRSI/DI Quality Review Case Analysis - Sampled Number Holder
183776 SSA-2935 Form and Instruction NewAuthorization to the Social Security Administration to Obtain Personal Informaition
183775 SSA-85 Form NewInformation Needed to Review Your Social Security Claim
183774 SSA-8552 Form NewInterview Confirmation
183773 SSA-L8554-U3 Other-Notice New
183772 SSA-L8553-U3 Other-Notice New
183771 SSA-L8552-U3 Other-Notice New
183770 SSA-L8551-U3 Other-Notice New
183769 SSA-L8550-U3 Other-Notice New
183268 SSA-4659 Form NewStewardship Annual Earnings Test Workbook
183266 SSA-2932 Form NewRSI/DI Quality Review Case Analysis � Parent
183264 SSA-2931 Form NewRSI/DI Quality Review Case Analysis - Auxiliaries/Survivors

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2011 36 Months From Approved 05/31/2008
12,075 0 5,475
1,997 0 2,521
0 0 0





Reginfo record details
12
table that charts list of burden
IC Title Form No. Form Name
SSA-2930 SSA-2930
SSA-2931 SSA-2931
SSA-2932 SSA-2932
SSA-2935 SSA-2935
SSA-4659 SSA-4659
SSA-85 SSA-85
SSA-8552 SSA-8552
SSA-L8550-U3
SSA-L8551-U3
SSA-L8552-U3
SSA-L8553-U3
SSA-L8554-U3

table that charts list of burden
  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 12,075 5,475 0 9,400 -2,800 0
Annual Time Burden (Hours) 1,997 2,521 0 785 -1,309 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No