Information Collection

Beneficiary Recontact Report

IC 9449 under ICR 201006-0960-005 · OMB 0960-0536.

Documents and Forms

Document Name Document Type
Form SSA-1587-OCR-SM Beneficiary Recontact Report Form
SSA-1587-OCR-SM Beneficiary Recontact Report SSA-1587-OCR-SM - Revised Version.pdf Form
SSA-1587-OCR-SM - Current Version.pdf Current SSA-1587-OCR-SM IC Document

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-1587-OCR-SM	Beneficiary Recontact Report	SSA-1587-OCR-SM - Revised Version.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: 982,357	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	982,357	982,357
Annual IC Time Burden (Hours)	49,118	49,118
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-1587-OCR-SM	SSA-1587-OCR-SM - Current Version.pdf	07/28/2010

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