Information Collection

Ssa-2932

IC 183266 under ICR 201110-0960-007 · OMB 0960-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0189 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-2932 (revised) SSA-2932	Form
SSA-2932 (revised) RSI/DI Quality Review Case Analysis ? Parent SSA-2932[1].pdf	Form
SSA- 2932 (original).pdf SSA-2932	IC Document

IC Title:

SSA-2932

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2932 (revised)	RSI/DI Quality Review Case Analysis ? Parent	SSA-2932[1].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: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-2932	SSA- 2932 (original).pdf	01/03/2011

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