Important Information About Your Appeal, Waiver Rights and Repayment Options (Phone Call Leading to SSA Intranet Entry)

Important Information About Your Appeal, Waiver Rights and Repayment Options

OMB: 0960-0779

IC ID: 191691

Documents and Forms
Document Name
Document Type
Other-Intranet Screens (phone call)
Information Collection (IC) Details

View Information Collection (IC)

Important Information About Your Appeal, Waiver Rights and Repayment Options (Phone Call Leading to SSA Intranet Entry)
 
No Unchanged
 
Voluntary
 
20 CFR 404.502-.521

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Intranet Screens (phone call) DMS Screen.doc Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

200,000 0
   
Individuals or Households
 
   100 %

  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 200,000 0 0 0 0 200,000
Annual IC Time Burden (Hours) 50,000 0 0 0 0 50,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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