Information Collection

Beneficiary Recontact Report

IC 9402 under ICR 200705-0960-019 · OMB 0960-0502.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0502 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-1588-OCR-SM Beneficiary Recontact Report Form
SSA-1588-OCR-SM Beneficiary Recontact Report SSA-1588-OCR-SM--revised.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Beneficiary Recontact Report	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 404.705 20 CFR 404.703

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1588-OCR-SM	Beneficiary Recontact Report	SSA-1588-OCR-SM--revised.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: 133,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	133,400	133,400
Annual IC Time Burden (Hours)	11,117	11,117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.