Information Collection

Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)

IC 189024 under ICR 201604-0960-005 · OMB 0960-0782.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0782 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-2010-F6 Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	Form
SSA-2010_Cover_Letter[1].pdf	Other-Cover Letter
0782 Privacy Act Statement (revised).doc	Other-Revised Privacy Act Statement
SSA-2010-F6 Questionnaire About Special Veterans Benefits SSA-2010-F6 (REVISED).pdf	Form
SSA 2010 Current Version.pdf SSA-2010 Current Version	IC Document

IC Title:

Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)

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 408.712

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	SSA-2010-F6	Questionnaire About Special Veterans Benefits	SSA-2010-F6 (REVISED).pdf	No	Paper Only
Other-Cover Letter			SSA-2010_Cover_Letter[1].pdf	No	Paper Only
Other-Revised Privacy Act Statement			0782 Privacy Act Statement (revised).doc	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,799

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,799	491	1,308
Annual IC Time Burden (Hours)	600	164	436
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-2010 Current Version	SSA 2010 Current Version.pdf	04/30/2013

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