SSA-7162-OCR-SM--Report to U.S. SSA

Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0049 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-7161-OCR-SM an SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction
SSA-7161-OCR-SM an Report to U.S. SSA by Person Receiving Benefits for a Ch SSA-7161 and SSA-7162 (revised).pdf Form and Instruction
SSA-7161 and SSA-7162 (current).pdf Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA IC Document

Information Collection (IC) Details

IC Title:	SSA-7162-OCR-SM--Report to U.S. SSA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	SSA-7161-OCR-SM and SSA-7162-OCR-SM	Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	SSA-7161 and SSA-7162 (revised).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 364,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	364,000	92,858	271,142
Annual IC Time Burden (Hours)	30,333	7,738	22,595
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	SSA-7161 and SSA-7162 (current).pdf	04/25/2013

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