Information Collection Request

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

ICR 201201-0960-002 · 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
200775 SSA-2930-BK (Abbreviated Information Requested per FY 2012 Study) Form and Instruction NewRSI/DI Quality Review
195245 SSA-8510 Form UnchangedAuthorization For The Social Security Administration To Obtain Personal Information
195231 SSA-820 and SSA-821 Form UnchangedWork Activity Report-Employee
195231 SSA-820 and SSA-821 Form UnchangedWork Activity Report (Self-Employed Person)
190343 iClaim Stewardship Questions Other-follow-up stewardship questions Unchanged
183776 SSA-2935 Form and Instruction UnchangedAuthorization to the Social Security Administration to Obtain Personal Informaition
183775 SSA-85 Form UnchangedInformation Needed to Review Your Social Security Claim
183774 SSA-8552 Form UnchangedInterview Confirmation
183773 SSA-L8554-U3 Other-Notice Unchanged
183772 SSA-L8553-U3 Other-Notice Modified
183771 SSA-L8552-U3 Other-Notice Unchanged
183770 SSA-L8551-U3 Other-Notice Unchanged
183769 SSA-L8550-U3 Other-Notice Unchanged
183268 SSA-4659 Form UnchangedStewardship Annual Earnings Test Workbook
183266 SSA-2932 Form UnchangedRSI/DI Quality Review Case Analysis ? Parent
183264 SSA-2931 Form UnchangedRSI/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 06/30/2014 06/30/2014
20,424 0 18,424
2,786 0 2,619
0 0 0





Reginfo record details
16
table that charts list of burden
IC Title Form No. Form Name
SSA-2930 SSA-2930(revised)
SSA-2930-BK (Abbreviated Information Requested per FY 2012 Study) SSA-2930-BK
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 20,424 18,424 0 2,000 0 0
Annual Time Burden (Hours) 2,786 2,619 0 167 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No