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Information Collection

Statement About Disability By Person Outside The U.s.

IC 114562 under ICR 197711-0960-007 · OMB 0960-0077.

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STATEMENT ABOUT DISABILITY BY PERSON OUTSIDE THE U.S.
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1426 No No


    

15,000 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 15,000 0 0 0 0 15,000
Annual IC Time Burden (Hours) 7,500 0 0 0 0 7,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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