Application for Lump-Sum Death Payment; 404.390 - 404.392

Application for Lump-Sum Death Payment, 404.390 - 404.392

OMB: 0960-0013

IC ID: 8890

Information Collection (IC) Details

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Application for Lump-Sum Death Payment; 404.390 - 404.392
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.390-404.392

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-8-F4 Application For Lump-Sum Death Payment SSA-8-F4.pdf No   Paper Only

Income Security General Retirement and Disability

 

29,350 0
   
Individuals or Households
 
   0 %

  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 29,350 0 0 -14,500 0 43,850
Annual IC Time Burden (Hours) 4,892 0 0 -2,416 0 7,308
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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