Certificate of Support

Certificate of Support

OMB: 0960-0001

IC ID: 8859

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Certificate of Support
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.370 20 CFR 404.750 20 CFR 404.408a

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-760-F4 Certificate of Support SSA-7960 (revised).pdf No   Paper Only
Other-Privacy Act Statement 0001 Privacy Act Statement revised.docx No   Paper Only

Income Security General Retirement and Disability

 

18,000 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 18,000 0 0 0 0 18,000
Annual IC Time Burden (Hours) 4,500 0 0 0 0 4,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-760-F4 (current form) SSA-760-F4 (current).pdf 10/23/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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