Information Collection Request

Expand the Definition of a Public Assistance Household (NPRM) - RIN 0960-AI81

ICR 202309-0960-006 · OMB 0960-0835 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-L5063 Statement about Food or Shelter Provided to Another Form and Instruction New Available
Form SSA-L5063 0960-0529 SSA-L5063 (Paper version) Form and Instruction New Missing upstream
Form SSA-5062 Statement of Household Expense and Contributions Form and Instruction New Available
Form SSA-5062 0960-0529 SSA-5062 (Paper version) Form and Instruction New Repair queued
Form SSA-8011 Statement of Household Expense and Contributions Form and Instruction New Available
Form SSA-8011 0960-0456 SSA-8011 (Paper Form) Form and Instruction New Repair queued
Form SSA-8006 Statement of Living Arrangements, In-Kind Support and Maintenance Form and Instruction New Available
Form SSA-8006 0960-0174 SSA-8006 (Paper Form) Form and Instruction New Repair queued
0960-NEW (PAHH NPRM ICR) - Addendum.docx Supplementary Document Uploaded 2023-09-28 Repair queued
0960-NEW (PAHH NPRM ICR).docx Supporting Statement A Uploaded 2023-09-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
262473 0960-0529 SSA-L5063 (SSI claim system) Other-Intranet Screens New
262472 0960-0529 SSA-L5063 (Paper version) Form and Instruction NewStatement about Food or Shelter Provided to Another
262472 0960-0529 SSA-L5063 (Paper version) Form and Instruction New
262463 0960-0529 SSA-5062 (SSI claim system) Other-Intranet Screens New
262455 0960-0529 SSA-5062 (Paper version) Form and Instruction NewStatement of Household Expense and Contributions
262455 0960-0529 SSA-5062 (Paper version) Form and Instruction New
262451 0960-0456 Personal Interview (SSI Claims System) Other-Intranet Screens New
262447 0960-0456 SSA-8011 (Paper Form) Form and Instruction NewStatement of Household Expense and Contributions
262447 0960-0456 SSA-8011 (Paper Form) Form and Instruction New
262443 0960-0174 SSA-8006 (SSI Claims System) Other-Intranet Screens New
262439 0960-0174 SSA-8006 (Paper Form) Form and Instruction NewStatement of Living Arrangements, In-Kind Support and Maintenance
262439 0960-0174 SSA-8006 (Paper Form) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
0960-0174 SSA-8006 (Paper Form) SSA-8006
0960-0174 SSA-8006 (SSI Claims System)
0960-0456 Personal Interview (SSI Claims System)
0960-0456 SSA-8011 (Paper Form) SSA-8011
0960-0529 SSA-5062 (Paper version) SSA-5062
0960-0529 SSA-5062 (SSI claim system)
0960-0529 SSA-L5063 (Paper version) SSA-L5063
0960-0529 SSA-L5063 (SSI claim system)



Reginfo record details
  No