Child Relationship Statement

Child Relationship Statement

OMB: 0960-0116

IC ID: 9088

Information Collection (IC) Details

View Information Collection (IC)

Child Relationship Statement
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.731 20 CFR 404.355

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-2519 Child Relationship Statement SSA-2519 - Revised.pdf No   Fillable Printable
Other-Revised PA Statement Revised PA Statement.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

 

50,000 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 50,000 0 0 0 0 50,000
Annual IC Time Burden (Hours) 12,500 0 0 0 0 12,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-2519 - Current SSA-2519 - Current.pdf 11/20/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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