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SSA-7161-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 by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA
OMB: 0960-0049
IC ID: 8961
OMB.report
SSA
OMB 0960-0049
ICR 201905-0960-004
IC 8961
( )
Documents and Forms
Document Name
Document Type
Form SSA-7161-OCR-SM
SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds
Form
SSA-7161-INST-Instructions and PA Statement - Revised Version.pdf
Instruction
SSA-7161-OCR-SM Report to United States Social Security Administration b
SSA-7161-OCR-SM.pdf
Form
SSA-7161-INST-Instructions - Current Version.pdf
Current SSA-7161-INST
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds
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
SSA-7161-OCR-SM
Report to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds
SSA-7161-OCR-SM.pdf
No
Fillable Printable
Instruction
SSA-7161-INST-Instructions and PA Statement - Revised Version.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
42,314
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
42,314
0
0
138
0
42,176
Annual IC Time Burden (Hours)
10,579
0
0
35
0
10,544
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Current SSA-7161-INST
SSA-7161-INST-Instructions - Current Version.pdf
08/21/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.