Information Collection

Social Security Office (SSO) Report of State Buy-in Problems

IC 7787 under ICR 200606-0938-006 · OMB 0938-0035.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0035 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Social Security Office (SSO) Report of State Buy-in Problems	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-1957				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,600	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,600	3,600	3,000
Annual IC Time Burden (Hours)	2,366	1,291	1,075
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.