Information Collection Request

Monthly SSI Wage Reporting

ICR 201904-0960-006 · OMB 0960-0715 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Addendum - 0715.docx Supplementary Document Uploaded 2019-08-01 Available
Supporting Statement - 0715.docx Supporting Statement A Uploaded 2019-11-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43714 Supplemental Security Income Telephone Wage Reporting (SSITWR) Other-Telephone Wage Reporting Modified
203908 Supplemental Security Income Mobile Wage Reporting (SSIMWR) Other-Mobile Wage Reporting Modified
179756 Monthly Wage Reporting Participant Training Package Other-Monthly Wage Reporting Call Flow Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved 11/30/2019
1,339,000 0 559,996
132,283 0 84,933
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Supplemental Security Income Telephone Wage Reporting (SSITWR)
Supplemental Security Income Mobile Wage Reporting (SSIMWR)
Monthly Wage Reporting Participant Training Package

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 1,339,000 559,996 0 0 779,004 0
Annual Time Burden (Hours) 132,283 84,933 0 0 47,350 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No