Private Sector

Function Report - Adult Third Party

OMB: 0960-0635

IC ID: 184838

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Private Sector
 
No Removed
 
Required to Obtain or Retain Benefits
 
20 CFR 416.912 20 CFR 404.1512

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-3380 Function Report--Adult--Third Party ssa3380(revised).pdf No   Paper Only

Income Security General Retirement and Disability

 

527,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 0 0 -527,000 0 0 527,000
Annual IC Time Burden (Hours) 0 0 -535,783 0 0 535,783
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-3380 -- Current Version ssa3380.pdf 07/10/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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