Burden Changes to 0960-0454 SSA-L5061 (Paper Form) based on the Final Rule

Changes to the Information Collection Tools Associated with the Final Rule, Expansion of the Rental Subsidy Policy for Supplemental Security Income (SSI) Applicants and Recipients - RIN 0960-AI82

Documents and Forms

Document Name Document Type
Form SSA-L5061 Burden Changes to 0960-0454 SSA-L5061 (Paper Form) based on the Final Rule Form
SSA-L5061 Letter To Landlord Requesting Rental Information SSA-L5061 - Current Version.pdf Form
SSA-L5061 Letter To Landlord Requesting Rental Information SSA-L5061 - Current Version.pdf Form

Information Collection (IC) Details

IC Title:	Burden Changes to 0960-0454 SSA-L5061 (Paper Form) based on the Final Rule	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1101 20 CFR 416.1102 20 CFR 416.1103 20 CFR 416.1100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-L5061	Letter To Landlord Requesting Rental Information	SSA-L5061 - Current Version.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: 35,640	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35,640	35,640
Annual IC Time Burden (Hours)	36,828	36,828
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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