SSA-L106 Letter to Custodian of School Records (Private Sector)

Letter to Custodian of Birth Records

OMB: 0960-0693

IC ID: 9747

Information Collection (IC) Details

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SSA-L106 Letter to Custodian of School Records (Private Sector)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.802 20 CFR 404.704 20 CFR 404.716 20 CFR 422.107

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-L106 Letter to Custodian of Birth Records SSA-L106-F3 - Revised.pdf No   Paper Only
Other-Revised PA Statement Revised Privacy Act Statement - 0693.pdf No   Paper Only

Income Security General Retirement and Disability

 

1,800 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 1,800 0 0 0 0 1,800
Annual IC Time Burden (Hours) 300 0 0 0 0 300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-L106-F3 - Current SSA-L106-F3 - Current.pdf 07/06/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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