Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries

Protection and Advocacy for Beneficiaries of Social Security (PABSS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0768 can be found here:

Documents and Forms

Document Name Document Type
PABSS-Screenshots (revised).pdf Other-Internet Screens
PABSS-Screenshots 0768 (current).pdf PABSS Interent Interview (current screens) IC Document

Information Collection (IC) Details

IC Title:	Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 435.51-435.52

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			PABSS-Screenshots (revised).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,284	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,284	3,284	5,000
Annual IC Time Burden (Hours)	4,142	2,892	1,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
PABSS Interent Interview (current screens)	PABSS-Screenshots 0768 (current).pdf	11/08/2016

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