Questionnaire About Employment or Self-Employment Outside the United States

Questionnaire About Employment or Self-Employment Outside the United States

OMB: 0960-0050

IC ID: 8964

Information Collection (IC) Details

View Information Collection (IC)

Questionnaire About Employment or Self-Employment Outside the United States
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.401(b)(1) 20 CFR 404.415 20 CFR 404.417

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-7163 Questionnaire About employment or Self Employment Outside the United States SSA-7163 - Revised Version.pdf No   Paper Only
Other-Revised Paperwork Reduction Act 0050 PRA revised.doc Yes No Printable Only
Other-Revised Privacy Act Statement 0050 Privacy Act Statement.doc Yes No Printable Only

Income Security General Retirement and Disability

 

20,000 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 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 4,000 0 0 0 0 4,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-7163 SSA-7163 - Current Version.pdf 01/10/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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