Information Collection Request

Income and Eligibility Verification System Confidentiality

ICR 201911-1205-007 · OMB 1205-0238 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1205-0238 Supporting Statement.doc Supporting Statement A Uploaded 2020-01-15 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
206244 Income and Eligibility Verification, SSA data cross checking Modified
13069 Confidentiality and Disclosure of State UI Information, data matching Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2023 36 Months From Approved 03/31/2020
739,709 0 904,957
16,164 0 18,672
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Confidentiality and Disclosure of State UI Information, data matching
Income and Eligibility Verification, SSA data cross checking

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 739,709 904,957 0 0 -165,248 0
Annual Time Burden (Hours) 16,164 18,672 0 0 -2,508 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No