Information Collection Request

Income and Eligibility Verification System (IEVS) Confidentiality

ICR 201303-1205-003 · OMB 1205-0238 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1205-0238 final August 2013.doc Supporting Statement A Uploaded 2013-08-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
206244 Income and Eligibility Verification, SSA data cross checking New
13069 Confidentiality and Disclosure of State UI Information, data matching Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 09/30/2013
918,861 0 1,230,000
18,903 0 24,108
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Confidentiality and Disclosure of State UI Information, data matching
Income and Eligibility Verification, SSA data cross checking

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 918,861 1,230,000 0 0 -311,139 0
Annual Time Burden (Hours) 18,903 24,108 0 0 -5,205 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No