Information Collection Request

Certification by Religious Group

ICR 202608-0960-009 · OMB 0960-0093 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-1458 Certification by Religious Group Form and Instruction Modified Available
Supporting Statement - 0093 (Final).docx Supporting Statement A Uploaded 2026-09-28 Available
Addendum - 0093.docx Supplementary Document Uploaded 2026-09-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43692 Certification by Religious Group Form and Instruction ModifiedCertification by Religious Group
43692 Certification by Religious Group Other-Revised PA Statement Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2026
318 142
159 71
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Certification by Religious Group SSA-1458

table that charts list of burden
  Total Request 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 318 142 0 0 176 0
Annual Time Burden (Hours) 159 71 0 0 88 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No