OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State Mental Institution Policy Review

IC 9081 under ICR 202004-0960-007 · OMB 0960-0110.

Documents and Forms
Document Name
Document Type
Form
Other-Revised PA & PRA Statements
Other-Revised PA & PRA Statements
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State Mental Institution Policy Review
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.665 20 CFR 404.2035 20 CFR 404.2065 20 CFR 416.635

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-9584-BK State Mental Instintution Policy Review SSA-9584-BK - Revised.pdf Yes No Fillable Printable
Other-Revised PA & PRA Statements Revised PA & PRA Statements.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

 

68 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 68 0 0 -1 0 69
Annual IC Time Burden (Hours) 68 0 0 -1 0 69
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-9584-BK - Current SSA-9584-BK - Current.pdf 08/24/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].