OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Regional Application (NY Debt Management-NYDM)

IC 195877 under ICR 201703-0960-005 · OMB 0960-0037.

Documents and Forms
Document Name
Document Type
Other-MSSICS Screen
Other-DMS Screens
Other-Revised PA Statement
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Regional Application (NY Debt Management-NYDM)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Revised PA Statement Revised PA Statement.pdf No   Fillable Printable
Other-MSSICS Screen MSSICS Waiver Screenshots.docx Yes Yes Fillable Fileable Signable
Other-DMS Screens DMS Screenshots.docx Yes Yes Fillable Fileable Signable
Form SSA-632-BK Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate SSA-632-BK - Revised.pdf No   Fillable Printable

Income Security General Retirement and Disability

 

44,000 0
   
Individuals or Households
 
   100 %

  Approved 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 44,000 0 0 0 0 44,000
Annual IC Time Burden (Hours) 88,000 0 0 0 0 88,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-632-BK - Current SSA-632-BK - Current.pdf 04/24/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.