Information Collection

Application For Survivors Benefits(payable Under Title Ii Of The Social Security Act)

IC 147785 under ICR 197706-2900-001 · OMB 2900-0255.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0255 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR SURVIVORS BENEFITS(PAYABLE UNDER TITLE II OF THE SOCIAL SECURITY ACT)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-24				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	160,000	130,000	30,000
Annual IC Time Burden (Hours)	40,000	35,000	5,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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