Application For Benefits Under The Belgium - U.s. International Social Security Agreement

APPLICATION FOR BENEFITS UNDER THE BELGIUM - U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT

OMB: 0960-0355

IC ID: 166811

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no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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APPLICATION FOR BENEFITS UNDER THE BELGIUM - U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT
 
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 SSA-799 No No


    

100 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 200 0 100 0 0 100
Annual IC Time Burden (Hours) 40 0 20 0 0 20
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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