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Ssa-2930
Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook
OMB: 0960-0189
IC ID: 9153
OMB.report
SSA
OMB 0960-0189
ICR 202005-0960-010
IC 9153
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0189 can be found here:
2024-03-14 - No material or nonsubstantive change to a currently approved collection
2024-01-02 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSA-2930
SSA-2930
Form
SSA-2930 RSI/DI Quality Review Case Analysis - Sampled Number Hol
SSA 2930 - Revised.pdf
Form
SSA-2930 - Current.pdf
SSA-2930 - Current
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SSA-2930
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-2930
RSI/DI Quality Review Case Analysis - Sampled Number Holder
SSA 2930 - Revised.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:
1,500
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
1,500
0
0
0
0
1,500
Annual IC Time Burden (Hours)
750
0
0
0
0
750
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA-2930 - Current
SSA-2930 - Current.pdf
10/06/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.