Information Collection

Real Property Current Market Value Estimate

IC 9358 under ICR 202206-0960-002 · OMB 0960-0471.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L2794 Real Property Current Market Value Estimate	Form
0960-0471 Privacy Act Statement (revised).docx	Other-Revised PA Statement
SSA-L2794 Real Prperty Current Market Value Estimate SSA-L2794 (revised).pdf	Form
SSA-L2794 (current).pdf Real Property Current Market Value Estimate	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-L2794	Real Prperty Current Market Value Estimate	SSA-L2794 (revised).pdf		No		Paper Only
Other-Revised PA Statement			0960-0471 Privacy Act Statement (revised).docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Real Property Current Market Value Estimate	SSA-L2794 (current).pdf	08/29/2022

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