OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

b) State Submission of Copy of Authorization (Manual Process)

IC 186506 under ICR 202007-0960-004 · OMB 0960-0546.

Documents and Forms
Document Name
Document Type
Other-Sample MOU
Other-Sample MOU
Other-Sample Signed Agreement
Other-Sample Signed Agreement Append
Information Collection (IC) Details

View Information Collection (IC)

b) State Submission of Copy of Authorization (Manual Process)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1901-416.1902, 416.1904 20 CFR 416.1906, 416.1908, 416.1910 20 CFR 416.1920, 416.1922

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Sample MOU Sample MOU Used with States.pdf No   Paper Only
Other-Sample Signed Agreement IAR NE Signed Agreement 11-2010.pdf No   Printable Only
Other-Sample Signed Agreement Appendecies IAR NE Signed Agreement Appendices (no PII) 11-2010.pdf No   Printable Only

Income Security General Retirement and Disability

 

27 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 51,138 0 0 -17,267 0 68,405
Annual IC Time Burden (Hours) 2,557 0 0 -863 0 3,420
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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