Information Collection Request

Supplemental Security Income-Quality Review Case Analysis

ICR 202502-0960-002 · OMB 0960-0133 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-8508-BK Supplemental Security Income--Quality Review Case Analysis Form Modified Available
Form SSA-8508-BK Supplemental Security Income-Quality Review Case Analysis Form Modified Repair queued
PC_202502-0960-002_071725_114544_1.pdf Public Comments Uploaded 2025-07-17 Repair queued
5-10-25 - Kelly Moore.pdf Public Comments Uploaded 2025-05-10 Repair queued
Addendum - 0133 (Final).docx Supplementary Document Uploaded 2025-06-25 Repair queued
Addendum - 0133 (Final).docx Supplementary Document Uploaded 2025-06-25 Repair queued
Supporting Statement Part A - 0133 (Final).docx Supporting Statement A Uploaded 2025-06-25 Repair queued
Supporting Statement Part A - 0133 (Final).docx Supporting Statement A Uploaded 2025-06-25 Missing upstream
Supporting Statement Part B - 0133 (Final).docx Supporting Statement B Uploaded 2025-06-25 Repair queued
Supporting Statement Part B - 0133 (Final).docx Supporting Statement B Uploaded 2025-06-25 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9113 Supplemental Security Income-Quality Review Case Analysis Form ModifiedSupplemental Security Income--Quality Review Case Analysis
9113 Supplemental Security Income-Quality Review Case Analysis Form Modified
9113 Supplemental Security Income-Quality Review Case Analysis Other-Cover Letter Modified
196447 e8508 Other-e8508 Screens (Internal Screens) Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2028 36 Months From Approved 07/31/2025
4,300 0 4,600
4,300 0 4,600
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Supplemental Security Income-Quality Review Case Analysis SSA-8508-BK
e8508

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 4,300 4,600 0 0 -300 0
Annual Time Burden (Hours) 4,300 4,600 0 0 -300 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No