Application for Benefits Under the Italy-U.S. International Social Security Agreements, 20 CFR 404.1925

Application for Benefits Under the Italy-U.S. International Social Security Agreements, 20 CFR 404.1925

OMB: 0960-0445

IC ID: 9322

Information Collection (IC) Details

View Information Collection (IC)

Application for Benefits Under the Italy-U.S. International Social Security Agreements, 20 CFR 404.1925
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1925

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-2528-F4-IT Application for Benefits-Itly-U.S.A Agreement on Social Security SSA-2528-F4-IT.pdf No   Paper Only

Income Security General Retirement and Disability

 

200 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 67 0 0 0 0 67
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PRA Statement PRA Statement.doc 04/24/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy