Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)

Questionnaire About Special Veterans Benefits

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0782 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-2010-F6 Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB) Form
SSA-2010 - Cover Letter.pdf Other-Cover Letter
SSA-2010 - Revised PA Statement.pdf Other-Revised Privacy Act Statement
SSA-2010-F6 Questionnaire About Special Veterans Benefits SSA-2010-F6 - Revised Version.pdf Form
SSA-2010-F6 - Current Version.pdf SSA-2010 Current Version IC Document

Information Collection (IC) Details

IC Title:	Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	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 408.712

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	SSA-2010-F6	Questionnaire About Special Veterans Benefits	SSA-2010-F6 - Revised Version.pdf	No	Paper Only
Other-Cover Letter			SSA-2010 - Cover Letter.pdf	No	Paper Only
Other-Revised Privacy Act Statement			SSA-2010 - Revised PA Statement.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: 382	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	382	-1,417	1,799
Annual IC Time Burden (Hours)	127	-473	600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-2010 Current Version	SSA-2010-F6 - Current Version.pdf	08/02/2019

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