Application for Wife's or Husband's Insurance Benefits

ICR 199609-0960-004

OMB: 0960-0008

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
0960-0008 199609-0960-004
Historical Active 199308-0960-002
SSA
Application for Wife's or Husband's Insurance Benefits
Extension without change of a currently approved collection   No
Regular
Approved without change 11/15/1996
Retrieve Notice of Action (NOA) 09/20/1996
  Inventory as of this Action Requested Previously Approved
11/30/1999 11/30/1999 11/30/1996
700,000 0 700,000
175,000 0 175,000
0 0 0

The information collected on form SSA-2-F6 is needed by the Social Security Administration to determine an applicant's eligibility to wife's or husband's benefits. The respondents are individuals who wish to file for those types of benefits.

None
None


No

1
IC Title Form No. Form Name
Application for Wife's or Husband's Insurance Benefits SSA-2-F6

  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 700,000 700,000 0 0 0 0
Annual Time Burden (Hours) 175,000 175,000 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.
09/20/1996


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