Application for Widow's or Widower's Insurance Benefits MCS/ Signature Proxy

Application for Widow's or Widower's Insurance Benefits 20 CFR 404.335-.338, 20 CFR 404.603

OMB: 0960-0004

IC ID: 44959

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Application for Widow's or Widower's Insurance Benefits MCS/ Signature Proxy
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 404.335-.338 20 CFR 404.603

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

Income Security General Retirement and Disability

 

137,076 0
   
Individuals or Households
 
   100 %

  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 137,076 0 137,076 0 0 0
Annual IC Time Burden (Hours) 31,984 0 31,984 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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