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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.