PRE-1957 MILITARY SERVICE FEDERAL BENEFIT QUESTIONNAIRE

ICR 198603-0960-003

OMB: 0960-0120

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
114762 Migrated
ICR Details
0960-0120 198603-0960-003
Historical Active 198302-0960-008
SSA
PRE-1957 MILITARY SERVICE FEDERAL BENEFIT QUESTIONNAIRE
Extension without change of a currently approved collection   No
Regular
Approved without change 04/05/1986
Retrieve Notice of Action (NOA) 03/07/1986
  Inventory as of this Action Requested Previously Approved
04/30/1989 04/30/1989 04/30/1986
56,000 0 56,000
9,333 0 9,333
0 0 0

THE INFORMATION COLLECTED BY THIS FORM IS USED TO DETERMINE WHETHER A PERSON WHO ALLEGES PRE-1957 MILITARY SERVICE CA BE ENTITLED TO WAGE CREDITS FOR THAT PERIOD AND THEREFORE RECEIVE A HIGHER SOCIAL SECURITY BENEFIT, OR BECOME ENTITLED TO SOCIAL SECURITY. THE AFFECTED PUBLIC CONSISTS OF WAGE-EARNERS WHO ARE APPLYING FOR SOCIAL SECURITY BENEFITS AND ALLEGE PRE-1957 MILITARY SERVICE.

None
None


No

1
IC Title Form No. Form Name
PRE-1957 MILITARY SERVICE FEDERAL BENEFIT QUESTIONNAIRE SSA-2512, (4-83)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 56,000 56,000 0 0 0 0
Annual Time Burden (Hours) 9,333 9,333 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/07/1986


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