Marriage Certification

Marriage Certification

OMB: 0960-0009

IC ID: 8880

Information Collection (IC) Details

View Information Collection (IC)

Marriage Certification
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.725

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-3 Marriage Certification SSA-3 - Revised Version.pdf Yes No Fillable Printable
Other-Revised Privacy Act Statement Revised PA Statement - SSA-3.pdf No   Paper Only

Income Security General Retirement and Disability

 

62,342 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 62,342 0 0 -117,658 0 180,000
Annual IC Time Burden (Hours) 5,195 0 0 -9,805 0 15,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-3 Current Version SSA-3 - Current Version.pdf 06/09/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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