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Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees

IC 181691 under ICR 202604-0960-009 · OMB 0960-0768.

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Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees
 
No Modified
 
Voluntary
 
20 CFR 435.51-435.52

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report SSA-4570- (revised).pdf Yes Yes Fillable Fileable
Other-Data elements SSA-4570 Data Elements.docx No   Paper Only

Income Security General Retirement and Disability

 

1 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1 0 0 -56 0 57
Annual IC Time Burden (Hours) 0 0 0 -1,368 0 1,368
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-4570 SSA-4570 (current).pdf 04/16/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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