OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Supplemental Security Income 20 CFR 416.305-416.335

ICR 200902-0960-018 · OMB 0960-0444 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-8001-BK Application for Supplemental Security Income 20 CFR 416.305-416.335 Form Unchanged Available
2009 brief survey.doc Supplementary Document Uploaded 2009-02-19 Repair queued
0960-0444 change sheet (brief survey).doc Justification for No Material/Nonsubstantive Change Uploaded 2009-02-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
9319 Application for Supplemental Security Income 20 CFR 416.305-416.335 Form Unchanged
188105 February 2009 Brief Survey of Title XVI Applicants Other-phone survey New
ICR Details
0960-0444 200902-0960-018
Historical Active 200805-0960-013
SSA
Application for Supplemental Security Income 20 CFR 416.305-416.335
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/12/2009
Retrieve Notice of Action (NOA) 02/19/2009
  Inventory as of this Action Requested Previously Approved
04/30/2009 04/30/2009 04/30/2009
1,200,910 0 1,154,760
286,524 0 285,755
0 0 0
As per our discussion with OMB in previous weeks, we are conducting a brief (two-question) telephone survey with Title XVI disability applicants. Explanation and survey questions are attached.
US Code: 42 USC 1383 Name of Law: null
  
None
Not associated with rulemaking
No
  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 1,200,910 1,154,760 0 46,150 0 0
Annual Time Burden (Hours) 286,524 285,755 0 769 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Temporary burden increase due to the brief two-week survey SSA is conducting. After the survey is complete, we will return the burden to its previous levels.
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
John Biles 410 965-3758 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/19/2009