Information Collection Request

Mail Reinterview Form

ICR 200901-3206-002 · OMB 3206-0106 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form INV 10 Mail Reinterview Form Form and Instruction Modified Available
30 day notice.pdf Supplementary Document Uploaded 2009-04-08 Available
60 Day Notice.pdf Supplementary Document Uploaded 2009-04-08 Available
SSA3206-0106 for 10APR09_112331_OMBfinal.DOC Supporting Statement A Uploaded 2009-04-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
33582 Mail Reinterview Form Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2012 36 Months From Approved 04/30/2009
50,000 0 5,600
5,000 0 560
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Mail Reinterview Form INV 10, INV 10 Mail Reinterview Form Letter ,   Mail Reinterview Form

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 50,000 5,600 0 44,400 0 0
Annual Time Burden (Hours) 5,000 560 0 4,440 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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