Information Collection Request

Protection and Advocacy for Beneficiaries of Social Security (PABSS)

ICR 202604-0960-009 · 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 Removed Repair queued
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report Form Removed Available
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report Form Modified Repair queued
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report Form Modified Available
Addendum 0960-0768.docx Supplementary Document Uploaded 2026-04-29 Repair queued
Addendum 0960-0768.docx Supplementary Document Uploaded 2026-04-29 Available
Supporting Statement - 0768 (final).docx Supporting Statement A Uploaded 2026-04-29 Repair queued
Supporting Statement - 0768 (final).docx Supporting Statement A Uploaded 2026-04-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
279980 Web-based Reporting System (SSA-4570) Other-Web-based Reporting System (SSA-4570) Mockup New
182006 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries Form RemovedProtection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
182006 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries Form RemovedProtection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
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 ModifiedProtection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
181691 Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees Other-Data elements Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2029 36 Months From Approved 09/30/2026
58 0 8,341
2,366 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
Web-based Reporting System (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 58 8,341 0 -8,284 1 0
Annual Time Burden (Hours) 2,366 5,510 0 -4,142 998 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No