Application for Parent's Insurance Benefits / MCS

Application for Parent's Insurance Benefits

OMB: 0960-0012

IC ID: 45009

Documents and Forms
Document Name
Document Type
Other-electronic screens
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Application for Parent's Insurance Benefits / MCS
 
No Removed
 
Required to Obtain or Retain Benefits
 
20 CFR 373-.374 20 CFR 370-.371 20 CFR 601-.603  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-electronic screens MCS screens SSA7.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

153 0
   
Individuals or Households
 
   100 %

  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 0 -153 0 153
Annual IC Time Burden (Hours) 0 0 0 -38 0 38
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Revised Privacy Act Statement SSA-7 Revised Privacy Act Statement.doc 04/03/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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