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Federal forms, ICRs, and supporting documents

Information Collection

Supplemental Statement Regarding Farming Activities of Persons Living Outside the U.S.A.

IC 9062 under ICR 201601-0960-001 · OMB 0960-0103.

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

View Information Collection (IC)

Supplemental Statement Regarding Farming Activities of Persons Living Outside the U.S.A.
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-7163A-F4 Supplemental Statement Regarding Farming Activities of Person Living Outside the U.S.A. ssa-7163a-F4 (Revised fill).pdf No   Paper Only
Other-Revised Privacy Act Statement SSA-L4112 Revised PA Statement.doc No   Paper Only

Income Security General Retirement and Disability

 

1,000 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 1,000 0 0 0 0 1,000
Annual IC Time Burden (Hours) 1,000 0 0 0 0 1,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-7163A-F4 ssa-7163a-F4 (current).pdf 01/28/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.