Request to Resolve Questionable Quarters of Coverage (QC)

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

OMB: 0960-0575

IC ID: 9530

Information Collection (IC) Details

View Information Collection (IC)

Request to Resolve Questionable Quarters of Coverage (QC)
 
No Modified
 
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-512 Request to Resolve Questionable Quarters of Coverage S512.pdf No   Paper Only

Income Security General Retirement and Disability

 

200,000 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 200,000 0 0 -350,000 0 550,000
Annual IC Time Burden (Hours) 6,667 0 0 -11,667 0 18,334
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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