PUBLIC ASSISTANCE AGENCY INFORMATION REQUEST

ICR 199002-0960-008

OMB: 0960-0095

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
114627 Migrated
ICR Details
0960-0095 199002-0960-008
Historical Active 198704-0960-002
SSA
PUBLIC ASSISTANCE AGENCY INFORMATION REQUEST
Extension without change of a currently approved collection   No
Regular
Approved without change 05/21/1990
Retrieve Notice of Action (NOA) 02/20/1990
  Inventory as of this Action Requested Previously Approved
05/31/1993 05/31/1993 06/30/1990
390,000 0 390,000
13,000 0 13,000
0 0 0

STATE AND LOCAL GOVERNMENT AGENCIES SUBMIT THE SSA-1610-U2 TO THE SOCI SECURITY ADMINISTRATION (SSA) TO REQUEST INFORMATION CONCERNING SOCIAL SECURITY BENEFICIARIES/RECIPIENTS WHO HAVE APPLIED FOR PUBLIC ASSISTAN FROM A STATE OR LOCAL GOVERNMENT AGENCY. THE IDENTIFYING INFORMATION SUBMITTED TO SSA ON THE FORM IS USED TO SEARCH FOR AND RETRIEVE APPROPRIATE DATA. THE DATA IS ENTERED ON THE FORM AND THE FORM RETURN

None
None


No

1
IC Title Form No. Form Name
PUBLIC ASSISTANCE AGENCY INFORMATION REQUEST SSA-1610, U2

  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 390,000 390,000 0 0 0 0
Annual Time Burden (Hours) 13,000 13,000 0 0 0 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.
02/20/1990


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