Social Security Benefits Application (Internet, Retirement Survivor & Disability) - Part 404 Subpart D, G & P

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Information Collection (IC) Details

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IC Title:	Social Security Benefits Application (Internet, Retirement Survivor & Disability) - Part 404 Subpart D, G & P	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.310-.311 20 CFR 404.315-.322 20 CFR 404.330-.333 20 CFR 404.1501-.1512 20 CFR 404.601-.603 20 CFR Subpart D, G & P (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,843,369	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,843,369	0	3,843,369
Annual IC Time Burden (Hours)	963,056	-32,401	995,457
Annual IC Cost Burden (Dollars)	0	0	0

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