Application for Special Benefits for World War II Veterans

ICR 200002-0960-002

OMB: 0960-0615

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
0960-0615 200002-0960-002
Historical Active
SSA
Application for Special Benefits for World War II Veterans
New collection (Request for a new OMB Control Number)   No
Emergency 02/16/2000
Approved without change 02/16/2000
Retrieve Notice of Action (NOA) 02/03/2000
  Inventory as of this Action Requested Previously Approved
08/31/2000 08/31/2000
12,000 0 0
4,000 0 0
0 0 0

The information collected on Form SSA-2000, Application for Special Benefits for World War II Veterans, will be used by the Social Security Administration to elicit the information necessary to determine entitlement of an individual to benefits under Title VIII of the Social Security Act. Respondents are certain World War II Veterans as identified under Title VIII, section 251, of the Foster Care Independence Act of 1999.

None
None


No

1
IC Title Form No. Form Name
Application for Special Benefits for World War II Veterans SSA-2000

  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 12,000 0 0 12,000 0 0
Annual Time Burden (Hours) 4,000 0 0 4,000 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.
02/03/2000


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