Cost Reimbursable Research Request--Application Reporting

Cost Reimbursable Research Request

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0754 can be found here:

Documents and Forms

Document Name Document Type
Cost Reimbursable Research Request--Application Reporting Form and Instruction
Confidentiality Agreement 04-23-07.doc Other-Certification
Reimbursable Conditions of Use Agreement 04-23-07.doc Other-AGREEMENT REGARDING CONDITIONS
HOW TO REQUEST SSA PROGRAM DATA FOR RESEARCH How to Request SSA Program Data - Final Version 04-23-07.doc Form and Instruction
Guidance for Preparing an SSA Data Protection Plan (Sup) -04-23-07.doc GUIDANCE FOR PREPARING AN SSA DATA PROTECTION PLAN IC Document
Users Manual 11-01-06.pdf SSA Program Data User's Manual IC Document

Information Collection (IC) Details

IC Title:	Cost Reimbursable Research Request--Application Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR Pt. 401.165 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	HOW TO REQUEST SSA PROGRAM DATA FOR RESEARCH	How to Request SSA Program Data - Final Version 04-23-07.doc	Yes	Yes	Fillable Fileable
Other-Certification			Confidentiality Agreement 04-23-07.doc	Yes	Yes	Fillable Fileable
Other-AGREEMENT REGARDING CONDITIONS FOR USE OF SSA DATA			Reimbursable Conditions of Use Agreement 04-23-07.doc	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GUIDANCE FOR PREPARING AN SSA DATA PROTECTION PLAN	Guidance for Preparing an SSA Data Protection Plan (Sup) -04-23-07.doc	04/23/2007
SSA Program Data User's Manual	Users Manual 11-01-06.pdf	04/23/2007

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