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Federal forms, ICRs, and supporting documents

Information Collection

Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence

IC 8863 under ICR 201101-0960-006 · OMB 0960-0002.

Documents and Forms
Document Name
Document Type
Form
Form
IC Document
Information Collection (IC) Details

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Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence
 
No Modified
 
Voluntary
 
20 CFR 404.720-.721

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-723 Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexpected Absence ssa-723 (revised).pdf No   Paper Only

Income Security General Retirement and Disability

 

3,000 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 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 1,500 0 0 0 0 1,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-723 (current) ssa-723.pdf 01/18/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.