OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Ssa-2931

IC 183264 under ICR 202403-0960-002 · OMB 0960-0189.

Documents and Forms
Document Name
Document Type
Form
Form
Other-Privacy Act Statement (revised
Other-Privacy Act Statement (revised
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SSA-2931
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-2931 RSI/DI QUALITY REVIEW CASE ANALYSIS – AUXILIARY/SURVIVOR SSA-2931 (revised).pdf No   Paper Only
Other-Privacy Act Statement (revised) Privacy Act Statement 0960-0189 (revised).docx No   Paper Only

Income Security General Retirement and Disability

 

850 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 850 0 0 0 0 850
Annual IC Time Burden (Hours) 666 0 0 0 0 666
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-2931 (current) SSA-2931 (current).pdf 03/11/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.