Information Collection

Request for Documents or Information SSA-2118-U2

IC 200927 under ICR 201201-0960-005 · OMB 0960-0795.

Documents and Forms

Document Name Document Type
Form SSA-2118 Request for Documents or Information SSA-2118-U2 Form
SSA-2118 Request for Documents and Information SSA-2118.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Documents or Information SSA-2118-U2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.701 20 CFR 404.703

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2118	Request for Documents and Information	SSA-2118.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	625	625
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.