Information Collection

Burden Changes to 0960-0454 SSA-L5061 (Paper Form) based on the Final Rule

IC 261643 under ICR 202403-0960-010 · OMB 0960-0831.

Documents and Forms

Document Name Document Type
Form SSA-L5061 Burden Changes to 0960-0454 SSA-L5061 (Paper Form) based on the Final Rule Form
SSA-L5061 Letter To Landlord Requesting Rental Information SSA-L5061 - Current Version.pdf Form
SSA-L5061 Letter To Landlord Requesting Rental Information SSA-L5061 - Current Version.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Burden Changes to 0960-0454 SSA-L5061 (Paper Form) based on the Final Rule	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1101 20 CFR 416.1102 20 CFR 416.1103 20 CFR 416.1100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-L5061	Letter To Landlord Requesting Rental Information	SSA-L5061 - Current Version.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35,640	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35,640	35,640
Annual IC Time Burden (Hours)	36,828	36,828
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.