Information Collection

Claim Documentation Form - Conscientious Objector

IC 35545 under ICR 201008-3240-001 · OMB 3240-0028.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22 - Supporing Statement 2010.pdf	Other-Supporting Statement
Procedural Directive - SSS Form 22 2010.pdf	Instruction
SORN 4 for SSS Form 22.pdf	Other-SORN
SSS Form 22 Claim Documentation Form Conscientious Objector New SSS Form 22.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Other-Supporting Statement			Form 22 - Supporing Statement 2010.pdf	No	Paper Only
Instruction			Procedural Directive - SSS Form 22 2010.pdf	No	Paper Only
Form	SSS Form 22	Claim Documentation Form Conscientious Objector	New SSS Form 22.pdf	No	Paper Only
Other-SORN			SORN 4 for SSS Form 22.pdf	No	Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: SSS-5 Registrant Processing Records

FR Citation: 75 FR 167

Number of Respondents: 1

Number of Respondents for Small Entity: 1

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	1
Annual IC Time Burden (Hours)	1	1
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.