Information Collection

Waiver Certificate For Use By Ministers, Certain Members Of Religious Orders & Christian Science Practitioners Electing Coverage Under The Social Security Act

IC 170666 under ICR 198909-1545-068 · OMB 1545-0980.

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Information Collection (IC) Details

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IC Title:

WAIVER CERTIFICATE FOR USE BY MINISTERS, CERTAIN MEMBERS OF RELIGIOUS ORDERS & CHRISTIAN SCIENCE PRACTITIONERS ELECTING COVERAGE UNDER THE SOCIAL SECURITY ACT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2031				No	No

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	0	5,000
Annual IC Time Burden (Hours)	3,050	2,217	833
Annual IC Cost Burden (Dollars)	0	0	0

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table that charts IC Documents
Title	Document	Date Uploaded

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