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Federal forms, ICRs, and supporting documents

Information Collection

MMA Outreach Mailer Insert (Form SSA-1023)

IC 185180 under ICR 201101-0960-003 · OMB 0960-0773.

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Form
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MMA Outreach Mailer Insert (Form SSA-1023)
 
No Modified
 
Voluntary
 
20 CFR 418

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1023 MMA Outreach Mailer Insert MMA Outreach Mailer Insert (0960-NEW).pdf No   Paper Only

Income Security General Retirement and Disability

 

75,000 0
   
Individuals or Households
 
   0 %

  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 75,000 0 0 0 0 75,000
Annual IC Time Burden (Hours) 1,250 0 0 0 0 1,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
MMA Outreach Automated Phone Message MMA_Outreach_Phone_Message[1].doc 03/03/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.