Information Collection Request

Income and Eligibility Verification System Confidentiality

ICR 202212-1205-004 · OMB 1205-0238 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1205-0238 Supporting Statement FINAL.docx Supporting Statement A Uploaded 2023-01-27 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
03/31/2026 36 Months From Approved 03/31/2023
421,178 0 739,709
10,749 0 16,164
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 421,178 739,709 0 0 -318,531 0
Annual Time Burden (Hours) 10,749 16,164 0 0 -5,415 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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