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Federal forms, ICRs, and supporting documents

Information Collection

20 CFR 408.202(d) (SSA-2000-F6)

IC 187937 under ICR 201503-0960-002 · OMB 0960-0615.

Documents and Forms
Document Name
Document Type
Form
Other-Revised Privacy Act Statement
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

20 CFR 408.202(d) (SSA-2000-F6)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 408.202(d) 20 CFR 408.310-408.315 20 CFR 408.230(a) 20 CFR 408.210 20 CFR 408.305

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-2000 Application for Special Benefits for World War II Veterans SSA-2000 Revised.pdf No   Paper Only
Other-Revised Privacy Act Statement Revised PA Statement - SSA-2000 03-23-15.pdf No   Paper Only

Income Security General Retirement and Disability

 

50 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 50 0 0 -50 0 100
Annual IC Time Burden (Hours) 17 0 0 -16 0 33
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Revised Privacy Act Statement PAS Revised SSA2000 03-23-15.pdf 04/15/2015
SSA-2000 Current Version SSA-2000 Current Version.pdf 06/24/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.