OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Beneficiary Interview and Auditor's Observations

IC 9653 under ICR 201511-0960-015 · OMB 0960-0630.

Documents and Forms
Document Name
Document Type
Form
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Beneficiary Interview and Auditor's Observations
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-322 Beneficiary Interview and Auditor's Observations SSA-322 (revised).pdf No   Paper Only

Income Security General Retirement and Disability

 

1,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 0 0 0 1,000
Annual IC Time Burden (Hours) 250 0 0 0 0 250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Beneficiary Interview and Auditor's Observations (current) SSA-322 (current).pdf 11/24/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.