Information Collection Request

Omitting Food From In-Kind Support and Maintenance Calculations

ICR 202402-0960-006 · OMB 0960-0838 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-L5063 (to SSA- Statement about Food or Shelter Provided to Another Form New Available
Form SSA-L506 Statement about Food or Shelter Provided to Another Form New Available
Form SSA-L506 0960-0529 - SSA-L5063 (Paper Version) Form New Repair queued
Form SSA-5062 (to SSA-5 Claimant's Statement About Loan Of Food Or Shelter Form and Instruction New Available
Form SSA-5062 Claimant's Statement About Loan Of Food Or Shelter Form and Instruction New Available
Form SSA-5062 0960-0529 - SSA-5062 (Paper Version) Form and Instruction New Repair queued
Form SSA-8011 (to Form Statement of Household Expense and Contributions Form and Instruction New Available
Form SSA-8011 Statement of Household Expense and Contributions Form and Instruction New Available
Form SSA-8011 0960-0456 - SSA-8011 (Paper Version) Form and Instruction New Repair queued
Form SSA-8203 (Effectiv Statement for Determining Continuing Eligibility for Supplemental Security Income Payment Form and Instruction New Available
Form SSA-8203 Statement for Determining Continuing Eligibility for Supplemental Security Income Payments Form and Instruction New Available
Form SSA-8203 0960-0416 - SSA-8203 (Paper Version) Form and Instruction New Repair queued
Form SSA-8000-BK (effec Application for Supplemental Security Income Form and Instruction New Available
Form SSA-8000-BK Application for Supplemental Security Income Form and Instruction New Available
Form SSA-8000-BK 0960-0229 - SSA-8000-BK (Paper Version) Form and Instruction New Repair queued
Form SSA-8006 (to SSA-8 Statement of Living Arrangements, In-Kind Support and Maintenance Form and Instruction New Available
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 Version) Form and Instruction New Repair queued
Form SSA-8202 (Effectiv Statement for Determining Continuing Eligibility for Supplemental Security Income Payment Form and Instruction New Available
Form SSA-8202 Statement for Determining Continuing Eligibility for Supplemental Security Income Payment Form and Instruction New Available
Form SSA-8202 0960-0145 - SSA-8202 (Paper Form) Form and Instruction New Repair queued
Supporting Statement - 0960-NEW (Omitting Food from ISM Calculations).docx Supporting Statement A Uploaded 2024-03-27 Repair queued
Addendum - 0960-NEW (Omitting Food from ISM Calculations).docx Supplementary Document Uploaded 2024-03-27 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
265549 SSA-L5063 (SSI Claims System Screens) Other-Intranet Screens New
265548 0960-0529 - SSA-L5063 (Paper Version) Form NewStatement about Food or Shelter Provided to Another
265548 0960-0529 - SSA-L5063 (Paper Version) Form NewStatement about Food or Shelter Provided to Another
265548 0960-0529 - SSA-L5063 (Paper Version) Form New
265547 0960-0529 - SSA-5062 (SSI Claims System Screens) Other-Intranet Screens New
265545 0960-0529 - SSA-5062 (Paper Version) Form and Instruction NewClaimant's Statement About Loan Of Food Or Shelter
265545 0960-0529 - SSA-5062 (Paper Version) Form and Instruction NewClaimant's Statement About Loan Of Food Or Shelter
265545 0960-0529 - SSA-5062 (Paper Version) Form and Instruction New
265543 0960-0456 - SSA-8011 (SSI Claims System Screens) Other-Intranet Screens New
265542 0960-0456 - SSA-8011 (Paper Version) Form and Instruction NewStatement of Household Expense and Contributions
265542 0960-0456 - SSA-8011 (Paper Version) Form and Instruction NewStatement of Household Expense and Contributions
265542 0960-0456 - SSA-8011 (Paper Version) Form and Instruction New
265540 0960-0416 - SSA-8203 (SSI Claims System Screens) Other-Intranet Screens New
265539 0960-0416 - SSA-8203 (Paper Version) Form and Instruction NewStatement for Determining Continuing Eligibility for Supplemental Security Income Payment
265539 0960-0416 - SSA-8203 (Paper Version) Form and Instruction NewStatement for Determining Continuing Eligibility for Supplemental Security Income Payments
265539 0960-0416 - SSA-8203 (Paper Version) Form and Instruction New
265519 0960-0229 - SSA-8000-BK (SSI Claims System Screens) Other-Intranet Screens New
265516 0960-0229 - SSA-8000-BK (Paper Version) Form and Instruction NewApplication for Supplemental Security Income
265516 0960-0229 - SSA-8000-BK (Paper Version) Form and Instruction NewApplication for Supplemental Security Income
265516 0960-0229 - SSA-8000-BK (Paper Version) Form and Instruction New
265515 0960-0174 - SSA-8006 (SSI Claims System Screens) Other-Intranet Screens New
265514 0960-0174 - SSA-8006 (Paper Version) Form and Instruction NewStatement of Living Arrangements, In-Kind Support and Maintenance
265514 0960-0174 - SSA-8006 (Paper Version) Form and Instruction NewStatement of Living Arrangements, In-Kind Support and Maintenance
265514 0960-0174 - SSA-8006 (Paper Version) Form and Instruction New
265510 0960-0145 - SSA-8202 (SSI Claims System Screens) Other-Intranet Screens New
265505 0960-0145 - SSA-8202 (Paper Form) Form and Instruction NewStatement for Determining Continuing Eligibility for Supplemental Security Income Payment
265505 0960-0145 - SSA-8202 (Paper Form) Form and Instruction NewStatement for Determining Continuing Eligibility for Supplemental Security Income Payment
265505 0960-0145 - SSA-8202 (Paper Form) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2024 6 Months From Approved
5,740,166 0 0
3,980,091 0 0
0 0 0





Reginfo record details
14
table that charts list of burden
IC Title Form No. Form Name
0960-0145 - SSA-8202 (Paper Form) SSA-8202, SSA-8202 (Effective 9/30/24) ,  
0960-0145 - SSA-8202 (SSI Claims System Screens)
0960-0174 - SSA-8006 (Paper Version) SSA-8006 (to SSA-8007 Effective after 9/30/24), SSA-8006 ,  
0960-0174 - SSA-8006 (SSI Claims System Screens)
0960-0229 - SSA-8000-BK (Paper Version) SSA-8000-BK, SSA-8000-BK (effective on 9/30/24) ,  
0960-0229 - SSA-8000-BK (SSI Claims System Screens)
0960-0416 - SSA-8203 (Paper Version) SSA-8203 (Effective after 9/30/24), SSA-8203 ,  
0960-0416 - SSA-8203 (SSI Claims System Screens)
0960-0456 - SSA-8011 (Paper Version) SSA-8011, SSA-8011 (to Form SSA-8012 effective on 9/30/24) ,  
0960-0456 - SSA-8011 (SSI Claims System Screens)
0960-0529 - SSA-5062 (Paper Version) SSA-5062, SSA-5062 (to SSA-5064 Effective on 9/30/24) ,  
0960-0529 - SSA-5062 (SSI Claims System Screens)
0960-0529 - SSA-L5063 (Paper Version) SSA-L506, SSA-L5063 (to SSA-L5065 Effective on 9/30/24) ,  
SSA-L5063 (SSI Claims System Screens)

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 5,740,166 0 5,740,166 0 0 0
Annual Time Burden (Hours) 3,980,091 0 3,980,091 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No