Report By Person Entitled To Special Age 72 Payments

REPORT BY PERSON ENTITLED TO SPECIAL AGE 72 PAYMENTS

OMB: 0960-0094

IC ID: 114620

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REPORT BY PERSON ENTITLED TO SPECIAL AGE 72 PAYMENTS
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1625-SM No No


    

14,000 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 14,000 0 0 0 0 14,000
Annual IC Time Burden (Hours) 700 0 0 0 0 700
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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