Information Collection

Statement Regarding Date of Birth and Citizenship

IC 8904 under ICR 200806-0960-006 · OMB 0960-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-702 Statement Regarding Date of Birth and Citizenship	Form
SSA-702 Statement Regarding Date of Birth and Citizenship SSA-702--Mock-Up with Revisions.pdf	Form

IC Title:

Statement Regarding Date of Birth and Citizenship

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 404.716

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-702	Statement Regarding Date of Birth and Citizenship	SSA-702--Mock-Up with Revisions.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: 1,200

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	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	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.