Information Collection

Marriage Certification

IC 8880 under ICR 201105-0960-006 · OMB 0960-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-3 Marriage Certification Marriage Certification	Form
SSA-3 Marriage Certification SSA-3 Revised.pdf	Form
ssa3 current version.pdf SSA-3 Current Version	IC Document

IC Title:

Marriage Certification

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 404.725

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-3				No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180,000

Number of Respondents for Small Entity: 0

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	180,000	180,000
Annual IC Time Burden (Hours)	15,000	15,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-3 Current Version		06/06/2011

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

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