Information Collection

Supplemental Security Income-Quality Review Case Analysis

IC 9113 under ICR 200807-0960-001 · OMB 0960-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0133 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-8508-BK Supplemental Security Income-Quality Review Case Analysis	Form
PRA-8508 cover (3).DOC	Other-null
SSA-8508-BK Supplemental Security Income--Quality Review Case Analys SSA-8508 -- Mock-Up of Revisions.pdf	Form

IC Title:

Supplemental Security Income-Quality Review Case Analysis

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form	SSA-8508-BK	Supplemental Security Income--Quality Review Case Analysis	SSA-8508 -- Mock-Up of Revisions.pdf		No		Paper Only
Other-null			PRA-8508 cover (3).DOC		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

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	Previously Approved
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	4,500	4,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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