Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries

Protection and Advocacy for Beneficiaries of Social Security (PABSS)

OMB: 0960-0768

IC ID: 182006

Documents and Forms
Document Name
Document Type
Other-Beneficiaries Intake
Information Collection (IC) Details

View Information Collection (IC)

Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries
 
No Modified
 
Voluntary
 
20 CFR 435.51-435.52

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Beneficiaries Intake PABSS Intake Form (Information from Beneficiaries).pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

5,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 1,250 0 0 0 0 1,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy