Information Collection Request

Protection and Advocacy for Beneficiaries of Social Security (PABSS)

ICR 202503-0960-007 · OMB 0960-0768 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report Form Modified Available
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries Form Modified Repair queued
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report Form Modified Available
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees Form Modified Repair queued
Justification for the Non-Substantive Changes - 0960-0768.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-18 Repair queued
Justification for the Non-Substantive Changes - 0960-0768.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-18 Repair queued
Addendum - 0768 (Final).docx Supplementary Document Uploaded 2022-12-15 Available
Addendum - 0768 (Final).docx Supplementary Document Uploaded 2022-12-15 Repair queued
Supporting Statement - 0768 (Final).docx Supporting Statement A Uploaded 2022-12-15 Available
Supporting Statement - 0768 (Final).docx Supporting Statement A Uploaded 2022-12-15 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
182006 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries Form ModifiedProtection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
182006 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries Form Modified
181691 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees Form ModifiedProtection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
181691 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2026 04/30/2026 04/30/2026
8,341 0 8,341
5,510 0 5,510
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries SSA-4570
Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees SSA-4570

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 8,341 8,341 0 0 0 0
Annual Time Burden (Hours) 5,510 5,510 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No