Information Collection

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

IC 181691 under ICR 201607-0960-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
PABSS Screenshots - Revised Version.pdf	Other-Internet Screens
PABSS-Screenshots 0768 (current).pdf PABSS--Internet Interview(current)	IC Document

IC Title:

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

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:

table that charts list of 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: 57

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PABSS--Internet Interview(current)	PABSS-Screenshots 0768 (current).pdf	11/08/2016

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