OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Letter to Landlord Requesting Rental Information

IC 9335 under ICR 201702-0960-005 · OMB 0960-0454.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Internal Screens
Other-Revised Privacy Act Statement
Other-Revised Paperwork Reduction Ac
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Letter to Landlord Requesting Rental Information
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1130(b)

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 SSA-Ll5061 (revised).pdf No   Fillable Printable
Other-Internal Screens SSA-L5061 - MSSICS Screens.pdf Yes Yes Fillable Fileable
Other-Revised Privacy Act Statement Privacy Act Statement 0454 (revised).doc No   Fillable Printable
Other-Revised Paperwork Reduction Act Statement 0454 PRA (revised).doc No   Fillable Printable

Income Security General Retirement and Disability

 

72,000 0
   
Individuals or Households
 
   95 %

  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 72,000 0 0 0 0 72,000
Annual IC Time Burden (Hours) 12,000 0 0 0 0 12,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-L5061 SSA-L5061 - Current Version.pdf 05/08/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.