Claim Documentation Form - Conscientious Objector

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claim Documentation Form - Conscientious Objector	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:

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 %

	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

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.