Information Collection

Real Property Current Market Value Estimate

IC 9358 under ICR 201903-0960-008 · OMB 0960-0471.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0471 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L2794 Real Property Current Market Value Estimate	Form
Revised PA Statement.pdf	Other-Revised PA Statement
SSA-L2794 Real Prperty Current Market Value Estimate SSA-L2794 - Revised.pdf	Form
SSA-L2794 - Current.pdf Real Property Current Market Value Estimate	IC Document

IC Title:

Real Property Current Market Value Estimate

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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
Form	SSA-L2794	Real Prperty Current Market Value Estimate	SSA-L2794 - Revised.pdf		No		Paper Only
Other-Revised PA Statement			Revised PA Statement.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: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	300	50	250
Annual IC Time Burden (Hours)	100	17	83
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Real Property Current Market Value Estimate	SSA-L2794 - Current.pdf	06/03/2019

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