Ssa-5666

Teacher Questionnaire; Request for Administrative Information

OMB: 0960-0646

IC ID: 183366

Information Collection (IC) Details

View Information Collection (IC)

SSA-5666
 
No Removed
 
Voluntary
 
20 CFR 416.924(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-5666 Request for Administrative Information ssa-5666 Revised Versin.pdf No   Paper Only
Other-ODAR Cover Letter ODAR Cover Letter (SSA-5666 Request for Administrative Information) (2) (Final).docx No   Paper Only

Income Security General Retirement and Disability

 

1,843 0
   
State, Local, and Tribal Governments
 
   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 0 0 -1,843 0 0 1,843
Annual IC Time Burden (Hours) 0 0 -922 0 0 922
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-5666 (current) SSA-5666 Current Version.pdf 06/11/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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