Information Collection Request

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

ICR 202309-0960-006 · OMB 0960-0835 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-L5063 0960-0529 SSA-L5063 (Paper version) Form and Instruction New Repair queued
Form SSA-5062 0960-0529 SSA-5062 (Paper version) Form and Instruction New Repair queued
Form SSA-8011 0960-0456 SSA-8011 (Paper Form) Form and Instruction New Repair queued
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 New
262463 0960-0529 SSA-5062 (SSI claim system) Other-Intranet Screens New
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 New
262443 0960-0174 SSA-8006 (SSI Claims System) Other-Intranet Screens New
262439 0960-0174 SSA-8006 (Paper Form) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
389,528 0
234,136 0
0 0





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 389,528 0 0 389,528 0 0
Annual Time Burden (Hours) 234,136 0 0 234,136 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No