Information Collection

Pre-1957 Military Service Federal Questionnaire

IC 9093 under ICR 200611-0960-001 · OMB 0960-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0120 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-2512 Pre-1957 Military Service Federal Questionnaire	Form
SSA-2512 Pre-1957 Military Service--Federal Benefit Questionnaire ssa2512.pdf	Form

IC Title:

Pre-1957 Military Service Federal Questionnaire

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 404.1301-404.1371

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2512	Pre-1957 Military Service--Federal Benefit Questionnaire	ssa2512.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	-5,000	10,000
Annual IC Time Burden (Hours)	833	-834	1,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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