Information Collection Request

Expand the Definition of a Public Assistance Household (Final Rule) - RIN 0960-AI81

ICR 202403-0960-007 · OMB 0960-0835 · Received in OIRA

Forms and Documents

Document Name	Status
Form SSA-L5063 0960-0529 SSA-L5063 (Paper version) Form and Instruction	Modified
Form SSA-5062 0960-0529 SSA-5062 (Paper version) Form and Instruction	Modified
Form SSA-8011 0960-0456 SSA-8011 (Paper Form) Form and Instruction	Modified
Form SSA-8060 0960-0174 SSA-8006 (Paper Form) Form and Instruction	Modified
Supporting Statement - 0960-0835 (PAHH Final Rule).docx Supporting Statement A	2024-04-19
Addendum - 0960-0835 (PAHH Final Rule).docx Supplementary Document	2024-04-19

IC Document Collections

IC ID	Document Title	Status
262473	0960-0529 SSA-L5063 (SSI claim system) Other-Intranet Screens	Modified
262472	0960-0529 SSA-L5063 (Paper version) Form and Instruction	Modified
262463	0960-0529 SSA-5062 (SSI claim system) Other-Intranet Screens	Modified
262455	0960-0529 SSA-5062 (Paper version) Form and Instruction	Modified
262451	0960-0456 Personal Interview (SSI Claims System) Other-Intranet Screens	Modified
262447	0960-0456 SSA-8011 (Paper Form) Form and Instruction	Modified
262443	0960-0174 SSA-8006 (SSI Claims System) Other-Intranet Screens	Modified
262439	0960-0174 SSA-8006 (Paper Form) Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	SSA
OMB Control No	0960-0835
Type of Information Collection	New collection (Request for a new OMB Control Number)
Previous ICR Reference No	202309-0960-006
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31