Information Collection

Regional Application (NY Debt Management-NYDM)

IC 195877 under ICR 201011-0960-011 · OMB 0960-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0037 can be found here:

Documents and Forms

Document Name Document Type
MSSICS Waiver Screen Shots.doc Other-MSSICS Screen
dms screenshots.doc Other-DMS Screens
SSA-632-BK Request For Waiver Of Overpayment Recovery Or Change In SSA-632-BK.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Regional Application (NY Debt Management-NYDM)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-MSSICS Screen			MSSICS Waiver Screen Shots.doc	Yes	Yes	Fillable Fileable Signable
Other-DMS Screens			dms screenshots.doc	Yes	Yes	Fillable Fileable Signable
Form	SSA-632-BK	Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate	SSA-632-BK.pdf	No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	44,000	44,000
Annual IC Time Burden (Hours)	88,000	88,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.