Application for Lump-Sum Death Payment

Application for Lump-Sum Death Payment

OMB: 0960-0013

IC ID: 8888

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Information Collection (IC) Details

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Application for Lump-Sum Death Payment
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-8-F4 Yes Yes


    

735,000 0
   
Individuals or Households
 
   95 %

  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 735,000 0 0 0 0 735,000
Annual IC Time Burden (Hours) 122,500 0 0 0 0 122,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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