Information Collection Request

21st CCLC 4201(b)(1) Waiver Request

ICR 202008-1810-003 · OMB 1810-0746 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SSA_1810-0746_21stCCLCwaiver.docx Supporting Statement A Uploaded 2020-11-04 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
243290 21st CCLC 4201(b)(1)(A) Waiver Request Other-Waiver Template Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 02/28/2021
53 53
159 159
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
21st CCLC 4201(b)(1)(A) Waiver Request

table that charts list of burden
  Total Request 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 53 53 0 0 0 0
Annual Time Burden (Hours) 159 159 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No