Certification by Religious Group

Certification by Religious Group

OMB: 0960-0093

IC ID: 43692

Information Collection (IC) Details

View Information Collection (IC)

Certification by Religious Group
No Modified
20 CFR 404.1075

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1458 Certification by Religious Group SSA-1458 (Revised).pdf No   Paper Only

Income Security General Retirement and Disability


180 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 180 0 0 0 0 180
Annual IC Time Burden (Hours) 45 0 0 0 0 45
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-1458 Current Version SSA-1458 (current).pdf 04/09/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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