Information Collection

Beneficiary Recontact Report

IC 9402 under ICR 201303-0960-002 · OMB 0960-0502.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0502 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1588-OCR-SM Beneficiary Recontact Report	Form and Instruction
Screenshot.doc	Other-Recontact Report Internal Scre
SSA-1588-OCR-SM Beneficiary Recontact Report SSA-1588-SM (revised).pdf	Form and Instruction
SSA-8510 (current).pdf Beneficiary Recontact Report (current version)	IC Document

IC Title:

Beneficiary Recontact Report

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 404.703 20 CFR 404.705

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 and Instruction	SSA-1588-OCR-SM	Beneficiary Recontact Report	SSA-1588-SM (revised).pdf		No		Paper Only
Other-Recontact Report Internal Screens			Screenshot.doc		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 171,506

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	171,506	38,106	133,400
Annual IC Time Burden (Hours)	14,292	3,175	11,117
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Beneficiary Recontact Report (current version)	SSA-8510 (current).pdf	04/04/2013

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