Ssa-8510

Medicare Subsidy Quality Review

OMB: 0960-0707

IC ID: 179417

Information Collection (IC) Details

View Information Collection (IC)

SSA-8510
 
No Modified
 
Voluntary
 
20 CFR 418(b)(5)  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information Revised SSA-8510 Authorization for the SSA to Obtain Personal Info.pdf No   Paper Only

Income Security General Retirement and Disability

 

3,500 0
   
Private Sector Businesses or other for-profits
 
   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 3,500 0 0 -1,500 0 5,000
Annual IC Time Burden (Hours) 292 0 0 -125 0 417
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-8510 Current Version SSA-8510 Authorization.doc 11/21/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy