Chinese Custom Marriage Statement; Statement Regarding Chinese Custom Marriage

ICR 200107-0960-005

OMB: 0960-0086

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
0960-0086 200107-0960-005
Historical Active 199806-0960-011
SSA
Chinese Custom Marriage Statement; Statement Regarding Chinese Custom Marriage
Extension without change of a currently approved collection   No
Regular
Approved without change 08/30/2001
Retrieve Notice of Action (NOA) 07/19/2001
  Inventory as of this Action Requested Previously Approved
08/31/2004 08/31/2004 08/31/2001
20 0 200
5 0 47
0 0 0

The information collected on Forms SSA-1344 and SSA-1345 is used to determine (for the purpose of paying Social Security Benefits) whether the spouse/claimant is (or was) legally married to the numberholder. The respondents are individuals who were married in a Chinese custom marriage.

None
None


No

1
IC Title Form No. Form Name
Chinese Custom Marriage Statement; Statement Regarding Chinese Custom Marriage SSA-1344, SSA-1345

  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 20 200 0 0 -180 0
Annual Time Burden (Hours) 5 47 0 0 -42 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.
07/19/2001


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