Information Collection Request

Certification by Religious Group

ICR 202412-0960-009 · OMB 0960-0093 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-1458 Certification by Religious Group Form and Instruction Modified Available
Form SSA-1458 Certification by Religious Group Form and Instruction Modified Repair queued
Justification for the Non-Substantive Changes 0960-0093.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-20 Available
Justification for the Non-Substantive Changes 0960-0093.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-20 Repair queued
Supporting Statement - 0093 (Final).docx Supporting Statement A Uploaded 2024-07-05 Available
Supporting Statement - 0093 (Final).docx Supporting Statement A Uploaded 2024-07-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43692 Certification by Religious Group Form and Instruction ModifiedCertification by Religious Group
43692 Certification by Religious Group Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2026 09/30/2026 09/30/2026
142 0 142
71 0 71
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Certification by Religious Group SSA-1458

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 142 142 0 0 0 0
Annual Time Burden (Hours) 71 71 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No