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Information Collection

Supplement To Application For Spouse's Widow(er)s And/or Child Insurance Annuity (disabled Child)

IC 157449 under ICR 197702-3220-002 · OMB 3220-0051.

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Information Collection (IC) Details

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SUPPLEMENT TO APPLICATION FOR SPOUSE'S WIDOW(ER)S AND/OR CHILD INSURANCE ANNUITY (DISABLED CHILD)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AA-19A No No


    

1,200 0
   
Individuals or Households
 
   0 %

  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 1,200 0 0 1,200 0 0
Annual IC Time Burden (Hours) 300 0 0 300 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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