Information Collection Request

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

ICR 202403-0960-007 · OMB 0960-0835 · 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 and Instruction Modified Available
Form SSA-L5063 Statement about Food or Shelter Provided to Another Form and Instruction Modified Available
Form SSA-L5063 0960-0529 SSA-L5063 (Paper version) Form and Instruction Modified Available
Form SSA-5062 (to SSA-5 Claimant's Statement About Loan Of Food Or Shelter Form and Instruction Modified Available
Form SSA-5062 Claimant's Statement About Loan Of Food Or Shelter Form and Instruction Modified Available
Form SSA-5062 0960-0529 SSA-5062 (Paper version) Form and Instruction Modified Repair queued
Form SSA-8011 (to Form Statement of Household Expense and Contributions Form and Instruction Modified Available
Form SSA-8011 Statement of Household Expense and Contributions Form and Instruction Modified Available
Form SSA-8011 0960-0456 SSA-8011 (Paper Form) Form and Instruction Modified Available
Form SSA-8006 (to SSA-8 Statement of Living Arrangements, In-Kind Support and Maintenance Form and Instruction Modified Available
Form SSA-8060 Statement of Living Arrangements, In-Kind Support and Maintenance Form and Instruction Modified Available
Form SSA-8060 0960-0174 SSA-8006 (Paper Form) Form and Instruction Modified Repair queued
Supporting Statement - 0960-0835 (PAHH Final Rule).docx Supporting Statement A Uploaded 2024-04-19 Available
Addendum - 0960-0835 (PAHH Final Rule).docx Supplementary Document Uploaded 2024-04-19 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2027 36 Months From Approved
389,528 0 0
424,060 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-8060, SSA-8006 (to SSA-8007 Effective after 9/30/24) ,  
0960-0174 SSA-8006 (SSI Claims System)
0960-0456 Personal Interview (SSI Claims System)
0960-0456 SSA-8011 (Paper Form) SSA-8011, SSA-8011 (to Form SSA-8012 effective on 9/30/24) ,  
0960-0529 SSA-5062 (Paper version) SSA-5062, SSA-5062 (to SSA-5064 Effective on 9/30/24) ,  
0960-0529 SSA-5062 (SSI claim system)
0960-0529 SSA-L5063 (Paper version) SSA-L5063, SSA-L5063 (to SSA-L5065 Effective on 9/30/24) ,  
0960-0529 SSA-L5063 (SSI claim system)

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 389,528 0 0 389,528 0 0
Annual Time Burden (Hours) 424,060 0 0 424,060 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No