Application for Mother's of Father's Insurance Benefits / MCS

Application for Mother's or Father's Insurance Benefits

OMB: 0960-0003

IC ID: 45016

Documents and Forms
Document Name
Document Type
Other-Database Screens
Information Collection (IC) Details

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Application for Mother's of Father's Insurance Benefits / MCS
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.601-404.603 20 CFR 404.339-404.342

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Database Screens Screen Shots.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

26,045 0
   
Individuals or Households
 
   100 %

  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 26,045 0 0 2,295 0 23,750
Annual IC Time Burden (Hours) 6,511 0 0 573 0 5,938
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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