Information Collection

L106, Letter to Custodian of School Records (Local/State/Tribal Government)

IC 182865 under ICR 201304-0960-012 · OMB 0960-0693.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0693 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L106 L106, Letter to Custodian of School Records (Local/State/Tribal Government)	Form
SSA-L106 Letter to Custodian of Birth Records SSA-L106.pdf	Form

IC Title:

L106, Letter to Custodian of School Records (Local/State/Tribal Government)

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 416.802 20 CFR 404.704 20 CFR 404.716 20 CFR 422.107

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-L106	Letter to Custodian of Birth Records	SSA-L106.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: 1,800

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.