Ssa-l9790

Annual Earnings Test Direct Mail Follow-up Program Notices

OMB: 0960-0369

IC ID: 195826

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

SSA-L9790
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.452-404.455

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-L9790 Retirement, Survivors and Disability Insurance: Nonwork Months Form SSA 9790 (revised).pdf No   Paper Only

Income Security General Retirement and Disability

 

45,000 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 45,000 0 0 0 0 45,000
Annual IC Time Burden (Hours) 7,500 0 0 0 0 7,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-9790 (current) 2017 SSA 9790.pdf 05/31/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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