Information Collection

Instructions for Completion of Federal Assistance Application for SSA Research and Demonstration Grant Programs

IC 43699 under ICR 200905-0960-004 · OMB 0960-0184.

Documents and Forms

Document Name Document Type
SSA-96BK.pdf Other-Electronic Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instructions for Completion of Federal Assistance Application for SSA Research and Demonstration Grant Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Electronic Form			SSA-96BK.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 380	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	760	-40	800
Annual IC Time Burden (Hours)	10,640	-560	11,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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