Information Collection

SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

IC 8961 under ICR 201304-0960-002 · OMB 0960-0049.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0049 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-7161-OCR-SM an Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	Form and Instruction
SSA-7161-OCR-SM an Report to U.S. SSA by Person Receiving Benefits for a Ch SSA-7161 and SSA-7162 (revised).pdf	Form and Instruction
SSA-7161 and SSA-7162 (current).pdf Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	IC Document

IC Title:

SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 and Instruction	SSA-7161-OCR-SM and SSA-7162-OCR-SM	Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	SSA-7161 and SSA-7162 (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: 43,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	43,000	12,440	30,560
Annual IC Time Burden (Hours)	10,750	3,110	7,640
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	SSA-7161 and SSA-7162 (current).pdf	04/25/2013

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