Information Collection

Letter to Landlord Requesting Rental Information

IC 9335 under ICR 200808-0960-001 · OMB 0960-0454.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0454 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L5061 Letter to Landlord Requesting Rental Information	Form and Instruction
SSA-L5061 Letter to Landlord Requesting Rental Information SSA-L5061 Revised.pdf	Form and Instruction
SSA-L5061 MSSICS S Letter to Landlord Requesting Rental Information MSSICS Screens.pdf	Form

IC Title:

Letter to Landlord Requesting Rental Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1130(b)

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 and Instruction	SSA-L5061	Letter to Landlord Requesting Rental Information	SSA-L5061 Revised.pdf		No		Paper Only
Form	SSA-L5061 MSSICS Screens	Letter to Landlord Requesting Rental Information	MSSICS Screens.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 49,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	49,000	49,000
Annual IC Time Burden (Hours)	8,167	8,167
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.