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

ICR 199202-0960-007

OMB: 0960-0445

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0445 199202-0960-007
Historical Active 198905-0960-001
SSA
APPLICATION FOR BENEFITS UNDER THE ITALY-U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT
Extension without change of a currently approved collection   No
Regular
Approved without change 05/01/1992
Retrieve Notice of Action (NOA) 02/26/1992
  Inventory as of this Action Requested Previously Approved
04/30/1995 04/30/1995 05/31/1992
180 0 180
60 0 60
0 0 0

THE INFORMATION IS USED TO DETERMINE ELIGIBILITY FOR SOCIAL SECURITY BENEFITS. THE RESPONDENTS ARE APPLICANTS WHO RESIDE IN ITALY.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR BENEFITS UNDER THE ITALY-U.S. INTERNATIONAL SOCIAL SECURITY AGREEMENT SSA-2528

  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 180 180 0 0 0 0
Annual Time Burden (Hours) 60 60 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.
02/26/1992


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