Information Collection

Regional Application (NY Debt Management-NYDM)

IC 195877 under ICR 201403-0960-007 · OMB 0960-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0037 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MSSICS Waiver Screen Shots.doc	Other-MSSICS Screen
dms screenshots 2014.doc	Other-DMS Screens
SSA-632-BK Request For Waiver Of Overpayment Recovery Or Change In SSA-632-BK Revised Version.pdf	Form

IC Title:

Regional Application (NY Debt Management-NYDM)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-MSSICS Screen			MSSICS Waiver Screen Shots.doc	Yes	Yes	Fillable Fileable Signable
Other-DMS Screens			dms screenshots 2014.doc	Yes	Yes	Fillable Fileable Signable
Form	SSA-632-BK	Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate	SSA-632-BK Revised Version.pdf	No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 44,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	44,000	44,000
Annual IC Time Burden (Hours)	88,000	88,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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