Information Collection Request

Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook

ICR 201011-0960-005 · OMB 0960-0189 · Historical Active

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9153 SSA-2930 Form ModifiedRSI/DI Quality Review Case Analysis - Sampled Number Holder
195245 SSA-8510 Form NewAuthorization For The Social Security Administration To Obtain Personal Information
195231 SSA-820 and SSA-821 Form NewWork Activity Report-Employee
195231 SSA-820 and SSA-821 Form NewWork Activity Report (Self-Employed Person)
190343 iClaim Stewardship Questions Other-follow-up stewardship questions Unchanged
183776 SSA-2935 Form and Instruction ModifiedAuthorization to the Social Security Administration to Obtain Personal Informaition
183775 SSA-85 Form ModifiedInformation Needed to Review Your Social Security Claim
183774 SSA-8552 Form ModifiedInterview Confirmation
183773 SSA-L8554-U3 Other-Notice Modified
183772 SSA-L8553-U3 Other-Notice Modified
183771 SSA-L8552-U3 Other-Notice Modified
183770 SSA-L8551-U3 Other-Notice Modified
183769 SSA-L8550-U3 Other-Notice Modified
183268 SSA-4659 Form ModifiedStewardship Annual Earnings Test Workbook
183266 SSA-2932 Form ModifiedRSI/DI Quality Review Case Analysis ? Parent
183264 SSA-2931 Form ModifiedRSI/DI Quality Review Case Analysis - Auxiliaries/Survivors

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2014 36 Months From Approved 06/30/2011
18,424 0 13,499
2,619 0 2,268
0 0 0





Reginfo record details
15
table that charts list of burden
IC Title Form No. Form Name
SSA-2930 SSA-2930(revised)
SSA-2931 SSA-2931(revised)
SSA-2932 SSA-2932 (revised)
SSA-2935 SSA-2935
SSA-4659 SSA-4659
SSA-820 and SSA-821 SSA-820-F4, SSA-821-BK ,  
SSA-85 SSA-85
SSA-8510 SSA-8510
SSA-8552 SSA-8552
SSA-L8550-U3
SSA-L8551-U3
SSA-L8552-U3
SSA-L8553-U3
SSA-L8554-U3
iClaim Stewardship Questions

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 18,424 13,499 0 1,220 3,705 0
Annual Time Burden (Hours) 2,619 2,268 0 169 182 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No