Information Collection Request
SSA Health IT Partner Assessment - Participating Facilities and Available Content Form, SSA-680
ICR 202501-0960-006 · OMB 0960-0798 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-680 Health IT Partner Assessment - SSA-680 |
Form | Modified | Repair queued |
 Supporting Statement - 0798.docx |
Supporting Statement A | Uploaded 2025-04-17 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 201618 |  Health IT Partner Assessment - SSA-680 |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0798 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202109-0960-002 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |