Information Collection Request

Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook

ICR 201703-0960-010 · OMB 0960-0189 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-2930 SSA-2930 Form Modified Available
Form SSA-8510 SSA-8510 Form Modified Repair queued
Form SSA-820-F4 SSA-820 and SSA-821 Form Removed Available
Form SSA-2935 SSA-2935 Form and Instruction Modified Available
Form SSA-85 SSA-85 Form Modified Available
Form SSA-8552 SSA-8552 Form Modified Available
Form SSA-4659 SSA-4659 Form Modified Available
Form SSA-2931 SSA-2931 Form Modified Available
Supporting Statement Part B - 0189.docx Supporting Statement B Uploaded 2017-08-18 Available
Supporting Statement Part A - 0189.docx Supporting Statement A Uploaded 2017-08-18 Available
Addendum - 0189.docx Supplementary Document Uploaded 2017-08-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9153 SSA-2930 Form Modified
195245 SSA-8510 Form Modified
195231 SSA-820 and SSA-821 Form Removed
183776 SSA-2935 Form and Instruction Modified
183775 SSA-85 Form Modified
183774 SSA-8552 Form Modified
183773 SSA-L8554-U3 Other-Notice Modified
183772 SSA-L8553-U3 Other-Notice Modified
183771 SSA-L8552-U3 Other-Notice Modified
183770 SSA-L8551-U3 Other-Notice Modified
183769 SSA-L8550-U3 Other-Notice Modified
183268 SSA-4659 Form Modified
183264 SSA-2931 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2020 36 Months From Approved 10/31/2017
18,215 0 18,100
2,525 0 2,582
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 18,215 18,100 0 0 115 0
Annual Time Burden (Hours) 2,525 2,582 0 0 -57 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No