Information Collection Request

Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

ICR 201905-0960-004 · OMB 0960-0049 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-7161-OCR-SM Report to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form Modified Available
Form SSA-7161-OCR-SM SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form Modified Available
Form SSA-7162-OCR-SM Report to United States Social Security Administration Form and Instruction Modified Available
Form SSA-7162-OCR-SM SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction Modified Repair queued
Supporting Statement - 0049 (Revised).docx Supporting Statement A Uploaded 2023-02-14 Available
Supporting Statement - 0049.docx Supporting Statement A Uploaded 2019-09-12 Repair queued
Addendum - 0049.docx Supplementary Document Uploaded 2019-08-21 Available
Addendum - 0049.docx Supplementary Document Uploaded 2019-08-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
8961 SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form ModifiedReport to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds
8961 SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form Modified
8961 SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Instruction Modified
178733 SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction ModifiedReport to United States Social Security Administration
178733 SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction Modified
178733 SSA-7162-OCR-SM--Report to U.S. SSA Other-Revised Privacy Act Statement Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2026 36 Months From Approved 02/28/2023
468,762 0 436,595
46,116 0 43,412
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds SSA-7161-OCR-SM
SSA-7162-OCR-SM--Report to U.S. SSA SSA-7162-OCR-SM

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 468,762 436,595 0 0 32,167 0
Annual Time Burden (Hours) 46,116 43,412 0 0 2,704 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No