Information Collection

Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries

IC 182006 under ICR 201307-0960-007 · OMB 0960-0768.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0768 can be found here:

Documents and Forms

Document Name Document Type
PABSS Screenshots - Revised Version.pdf Other-Internet Screens
PABSS Screenshots - Current Version.pdf PABSS Interent Interview (current screens) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 435.51-435.52

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			PABSS Screenshots - Revised Version.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PABSS Interent Interview (current screens)	PABSS Screenshots - Current Version.pdf	09/02/2013

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