Information Collection

Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries

IC 182006 under ICR 201908-0960-003 · OMB 0960-0768.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0768 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PrtScn PABSS Web Reporting System - Revised.pdf	Other-Internet Screens
PrtScn PABSS Web Reporting System - Current.pdf PABSS - Current	IC Document

IC Title:

Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 435.51-435.52

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
Other-Internet Screens			PrtScn PABSS Web Reporting System - Revised.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,284

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	8,284	8,284
Annual IC Time Burden (Hours)	4,142	4,142
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PABSS - Current	PrtScn PABSS Web Reporting System - Current.pdf	11/04/2019

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