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Federal forms, ICRs, and supporting documents

Information Collection

Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits)

IC 179344 under ICR 201207-0960-001 · OMB 0960-0618.

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

View Information Collection (IC)

Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits)
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 404.310-.311 20 CFR 404.601-.603 20 CFR 404.315-.322 20 CFR 404.1501-.1512 20 CFR 404.330-.333

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction SSA-2-INST - Revised Version.pdf No   Paper Only
Form and Instruction SSA-2 Application for Wife's or Husband's Insurance Benefits SSA-2 - Revised Version.pdf No   Printable Only

Income Security General Retirement and Disability

 

3,800 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 3,800 0 0 0 0 3,800
Annual IC Time Burden (Hours) 950 0 0 0 0 950
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current Version of the SSA-2 SSA-2-BK - Current Version.pdf 08/12/2010
Current SSA-2-INST SSA-2-INST - Current Version.pdf 08/12/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.