Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook

ICR 202502-0960-005

OMB: 0960-0189

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-2930 SSA-2930 Form	Modified
Form SSA-8510 SSA-8510 Form	Modified
Form SSA-2935 SSA-2935 Form and Instruction	Modified
Form SSA-85 SSA-85 Form	Modified
Form SSA-8552 SSA-8552 Form	Modified
Form SSA-4659 SSA-4659 Form	Modified
Form SSA-2931 SSA-2931 Form	Modified
Addendum - 0189 (Final).docx Supplementary Document	2025-06-27
Supporting Statement Part B - 0189 (Final).docx Supporting Statement B	2025-06-27
Supporting Statement Part A - 0189 (Final).docx Supporting Statement A	2025-06-27

IC Document Collections

IC ID	Document Title	Status
9153	SSA-2930 Form	Modified
195245	SSA-8510 Form	Modified
183776	SSA-2935 Form and Instruction	Modified
183775	SSA-85 Form	Modified
183774	SSA-8552 Form	Modified
183773	SSA-L8554 Other-Notice	Modified
183772	SSA-L8553 Other-Notice	Modified
183771	SSA-L8552-U3 Other-Notice	Removed
183770	SSA-L8551-U3 Other-Notice	Removed
183769	SSA-L8550-U3 Other-Notice	Removed
183268	SSA-4659 Form	Modified
183264	SSA-2931 Form	Modified