Beneficiary Interview and Auditor's Observations

Beneficiary Interview and Auditor's Observations

OMB: 0960-0630

IC ID: 9653

Information Collection (IC) Details

View Information Collection (IC)

Beneficiary Interview and Auditor's Observations
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-322 Beneficiary Interview and Auditor's Observations Beneficiary Interview Observation Form (revised).pdf No   Paper Only

Income Security General Retirement and Disability

 

200 0
   
Individuals or Households
 
   0 %

  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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Beneficiary Interview and Auditor's Observations (original) Beneficiary Interview Observation Form.doc 03/09/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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