Letter to Landlord Requesting Rental Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0454 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-L5061 Letter to Landlord Requesting Rental Information Form and Instruction
SSA-L5061 Letter to Landlord Requesting Rental Information l5061 (revised).pdf Form and Instruction
l5061.pdf SSA-L5061 (current) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Letter to Landlord Requesting Rental Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 416.1130(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-L5061	Letter to Landlord Requesting Rental Information	l5061 (revised).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 536	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	536	536
Annual IC Time Burden (Hours)	89	89
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-L5061 (current)	l5061.pdf	08/10/2011

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