Information Collection

Agreement to Sell Property (in-person interview)

IC 9101 under ICR 202308-0960-005 · OMB 0960-0127.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-8060-U3 Agreement to Sell Property (in-person interview)	Form
0127 Privacy Act Statement (revised).docx	Other-Revised Privacy Act Statement
SSA-8060-U3 Agreement to Sell Property SSA-8060-U3 (revised).pdf	Form
SSA-8060-U3 (current).pdf Current SSA-8060-U3	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1240 - 416.1245

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-8060-U3	Agreement to Sell Property	SSA-8060-U3 (revised).pdf		No		Paper Only
Other-Revised Privacy Act Statement 0127			0127 Privacy Act Statement (revised).docx		No		Paper Only

Line of Business: Income Security

Subfunction: Housing Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,000	-10,000	20,000
Annual IC Time Burden (Hours)	12,500	5,833	6,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-8060-U3	SSA-8060-U3 (current).pdf	11/20/2023

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