Information Collection

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

IC 8961 under ICR 201604-0960-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form SSA-7161-OCR-SM SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form
SSA-7161-INST-Instructions-PA Statement - Revised Version.pdf Instruction
SSA-7161-OCR-SM Report to United States Social Security Administration b SSA-7161-OCR-SM - Revised Version.pdf Form
SSA-7161-OCR-SM - Current Version.pdf Current SSA-7161-OCR-SM IC Document
SSA-7161-INST-Instructions-PA Statement - Current Version.pdf Current SSA-7161-INST IC Document

Information Collection (IC) Details

View Information Collection (IC)

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

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-7161-OCR-SM	Report to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds	SSA-7161-OCR-SM - Revised Version.pdf		No		Fillable Printable
Instruction			SSA-7161-INST-Instructions-PA Statement - Revised Version.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: 42,176	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	42,176	-824	43,000
Annual IC Time Burden (Hours)	10,544	-206	10,750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-7161-OCR-SM	SSA-7161-OCR-SM - Current Version.pdf	08/01/2016
Current SSA-7161-INST	SSA-7161-INST-Instructions-PA Statement - Current Version.pdf	08/01/2016

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