Certification of Elections for Reduced Spouse's Benefits

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0398 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-25 Certification of Elections for Reduced Spouse's Benefits Form
SSA-25 Certificate of Election for Reduced Spouse’s Benefits SSA-25 - Revised Fillable Version.pdf Form
SSA-25 - Current Version.pdf Current SSA-25 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of Elections for Reduced Spouse's Benefits	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.421

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-25	Certificate of Election for Reduced Spouse’s Benefits	SSA-25 - Revised Fillable Version.pdf		Yes	No	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-25	SSA-25 - Current Version.pdf	10/26/2015

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