Information Collection

Letter to Landlord Requesting Rental Information

IC 198822 under ICR 201404-0960-002 · OMB 0960-0454.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0454 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L5061 Letter to Landlord Requesting Rental Information	Form and Instruction
SSA-L5061 Letter to Landlord Requesting Rental Information l5061 (revised).pdf	Form and Instruction
l5061.pdf SSA-L5061 (current)	IC Document

IC Title:

Letter to Landlord Requesting Rental Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 416.1130(b)

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-L5061	Letter to Landlord Requesting Rental Information	l5061 (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: 536

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-536	536
Annual IC Time Burden (Hours)	-89	89
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-L5061 (current)	l5061.pdf	08/10/2011

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