Statement Regarding Marriage

Statement Regarding Marriage

OMB: 0960-0017

IC ID: 8908

Information Collection (IC) Details

View Information Collection (IC)

Statement Regarding Marriage
 
No Modified
 
Voluntary
 
20 CFR 404.726

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-753 Statement Regarding Marriage Mocked up SSA 753.pdf Yes No Fillable Fileable Signable

Income Security Survivor Compensation

 

40,000 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 40,000 0 0 0 0 40,000
Annual IC Time Burden (Hours) 6,000 0 0 0 0 6,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current Version of the SSA-753 ssa-753 Form (current).pdf 03/01/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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