Application for Survivor Death Benefits

Application for Survivor Death Benefits

OMB: 3220-0031

IC ID: 33837

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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Application for Survivor Death Benefits
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AA-21-CERT Yes Yes
Form AA-21 Yes Yes
Form AA-11A Yes Yes
Form G-131 Yes Yes
Form G-273A Yes Yes


    

20,600 0
   
Individuals or Households
 
   47 %

  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 20,600 0 0 0 0 20,600
Annual IC Time Burden (Hours) 5,150 0 0 0 0 5,150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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