We need important information about your eligibility for social security benefits our records show that you have not received a decision from the Social Security Administration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0216 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	We need important information about your eligibility for social security benefits our records show that you have not received a decision from the Social Security Administration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RI-98-7				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,500	3,300	2,200
Annual IC Time Burden (Hours)	458	275	183
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.