Information Collection

SSA-21 - Non-Resident Alien (not a resident of a tax treaty country), MCS Macros Version

IC 212851 under ICR 201511-0960-001 · OMB 0960-0051.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0051 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-21 Revised Macros and Script Version 11-2015.docx	Other-Internal Screens
SSA-21 Current Macros and Script Version.rtf Other: Internal Screens	IC Document

IC Title:

SSA-21 - Non-Resident Alien (not a resident of a tax treaty country), MCS Macros Version

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 404.460 20 CFR 404.463 20 CFR 422.505(b) 42 CFR 407.27(c)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internal Screens			SSA-21 Revised Macros and Script Version 11-2015.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,409

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	7,409	7,409
Annual IC Time Burden (Hours)	617	617
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Other: Internal Screens	SSA-21 Current Macros and Script Version.rtf	11/02/2015

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