Request for Quarters of Coverage Based on Relationship

Request to Resolve Questionable Quarters of Coverage (QC); Request for QC History Based on Relationship

OMB: 0960-0575

IC ID: 46506

Information Collection (IC) Details

View Information Collection (IC)

Request for Quarters of Coverage Based on Relationship
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-513 Request for Quarters of Coverage Based on Relationship S513.pdf No   Paper Only

Income Security General Retirement and Disability

 

350,000 0
   
State, Local, and Tribal Governments
 
   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 350,000 0 0 350,000 0 0
Annual IC Time Burden (Hours) 11,667 0 0 11,667 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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