Information Collection

Sections 404.1712; 404.1720; 404.1725; 404.1730; 416.1512; 416.1520; 416.1525; 416.1530

IC 186690 under ICR 200809-0960-010 · OMB 0960-0774.

Documents and Forms

Document Name Document Type
SSA-3396P NPRM.pdf N/A -- Regulations Other-Reg Sections

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Sections 404.1712; 404.1720; 404.1725; 404.1730; 416.1512; 416.1520; 416.1525; 416.1530	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.1712 20 CFR 404.1720 20 CFR 404.1725 20 CFR 404.1730 20 CFR 416.1512 20 CFR 416.1520 20 CFR 416.1525 20 CFR 416.1530

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Reg Sections			SSA-3396P NPRM.pdf	N/A -- Regulations	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	0	0
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.