Request to Resolve Questionable Quarters of Coverage (QC) and Request for Quarters of Coverage (QC) History Based on Relationship

ICR 199706-0960-008

OMB: 0960-0575

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0575 199706-0960-008
Historical Active
SSA
Request to Resolve Questionable Quarters of Coverage (QC) and Request for Quarters of Coverage (QC) History Based on Relationship
New collection (Request for a new OMB Control Number)   No
Emergency 06/27/1997
Approved without change 06/27/1997
Retrieve Notice of Action (NOA) 06/16/1997
This information collection is approved through 12-97 under the following condition: SSA will inform the potential persons who are to respond to the collection of information that such persons are not required to respond to the collection unless is displays a currently valide OMB number, as required by 5 CFR 1320.5.
  Inventory as of this Action Requested Previously Approved
02/28/1998 02/28/1998
550,000 0 0
18,334 0 0
0 0 0

Public Law 104-193 states that aliens admitted for lawful residence, who have worked and earned 40 qualifying QCs for social security purposes, can generally receive State benefits. QCs of the wage earner can also be allocated to a spouse and/or to a child under age 18, if needed for determining eligiblity. The form SSA-512 is used to request clarification from SSA on questionable QC information. The form SSA-513 is used to request QC information for an alien's spouse or child when a consent to access SSA's records has not been obtained.

None
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No

1
IC Title Form No. Form Name
Request to Resolve Questionable Quarters of Coverage (QC) and Request for Quarters of Coverage (QC) History Based on Relationship SSA-512, SSA-513

  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 550,000 0 0 550,000 0 0
Annual Time Burden (Hours) 18,334 0 0 18,334 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
06/16/1997


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