Information Collection

Application for Search of Census Records for Proof of Age

IC 43694 under ICR 201706-0960-002 · OMB 0960-0097.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0097 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1535-U3 Application for Search of Census Records for Proof of Age	Form
SSA-1535-U3 - Revised Privacy Act Statement.pdf	Other-Revised Privacy Act Statement
SSA-1535-U3 Application for Search of Census Records for Proof of Ag SSA-1535-U3 - Revised Version.pdf	Form
SSA-1535-U3 - Current Version.pdf Current SSA-1535-U3	IC Document

IC Title:

Application for Search of Census Records for Proof of Age

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.716

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1535-U3	Application for Search of Census Records for Proof of Age	SSA-1535-U3 - Revised Version.pdf		No		Paper Only
Other-Revised Privacy Act Statement			SSA-1535-U3 - Revised Privacy Act Statement.pdf		Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18,030

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	18,030	18,030
Annual IC Time Burden (Hours)	3,606	3,606
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-1535-U3	SSA-1535-U3 - Current Version.pdf	09/15/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.