SURVEY OF DISABLED CHILDREN RECEIVING SUPPLEMENTAL SECURITY INSURANCE BENEFITS

ICR 197712-0960-005

OMB: 0960-0194

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0194 197712-0960-005
Historical Active 197704-0960-005
SSA
SURVEY OF DISABLED CHILDREN RECEIVING SUPPLEMENTAL SECURITY INSURANCE BENEFITS
Revision of a currently approved collection   No
Regular
Approved without change 01/09/1978
Retrieve Notice of Action (NOA) 12/14/1977
  Inventory as of this Action Requested Previously Approved
11/30/1982 11/30/1982 06/30/1978
2,000 0 50
1,500 0 38
0 0 0

THE COLLECTION AND ANALYSIS OF THIS INFORMATION COMPLIES WITH SECTION 702 OF THE SOCIAL SECURITY ACT. THIS QUESTIONNAIRE ELICITS INFORMATION REGARDING THE DEMOGRAPHIC, SOCIAL AND ECONOMIC CHARACTERISTICS OF DISABLED AND BLIND SSI CHILDREN. THE INFORMATION IS USED BY SSA PLANNING COMPONENTS TO RECOMMEND ADMINISTRATIVE AND LEGISLATIVE MODIFICATIONS TO THE SSI PROGRAM.

None
None


No

1
IC Title Form No. Form Name
SURVEY OF DISABLED CHILDREN RECEIVING SUPPLEMENTAL SECURITY INSURANCE BENEFITS SSA-3517

  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 2,000 50 0 0 1,950 0
Annual Time Burden (Hours) 1,500 38 0 0 1,462 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
12/14/1977


© 2024 OMB.report | Privacy Policy