Financial Disclosure for Civil Monetary Penalty (CMP) Debt

Financial Disclosure for Civil Monetary Penalty (CMP) Debt

OMB: 0960-0776

IC ID: 188515

Information Collection (IC) Details

View Information Collection (IC)

Financial Disclosure for Civil Monetary Penalty (CMP) Debt
 
No Modified
 
Voluntary
 
20 CFR 498

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-640 Financial Disclosure for Civil Monetary Penalty (CMP) Debt SSA-640 - Revised Version.pdf No   Paper Only
Other-Privacy Act Statement Revised PA Statement - SSA-640.pdf No   Paper Only

Income Security General Retirement and Disability

 

400 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 400 0 0 0 0 400
Annual IC Time Burden (Hours) 800 0 0 0 0 800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-640 SSA-640 - Current Version.pdf 04/16/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy