Information Collection

SSA-L706 Letter to Custodian of Birth Records (Beneficiary or Claimant Signature)

IC 238009 under ICR 201904-0960-011 · OMB 0960-0693.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0693 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L706 SSA-L706 Letter to Custodian of Birth Records (Beneficiary or Claimant Signature)	Form and Instruction
Revised Privacy Act Statment - SSA-L106 and SSA-L706.pdf	Other-Privacy Act Statement
SSA-L706 Letter to Custodian of Birth Records SSA-L706 - Revised Version.pdf	Form and Instruction

IC Title:

SSA-L706 Letter to Custodian of Birth Records (Beneficiary or Claimant Signature)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 422.107 20 CFR 404.716 20 CFR 416.802 20 CFR 404.704

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 and Instruction	SSA-L706	Letter to Custodian of Birth Records	SSA-L706 - Revised Version.pdf		No		Fillable Printable
Other-Privacy Act Statement			Revised Privacy Act Statment - SSA-L106 and SSA-L706.pdf		No		Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 855

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	855	855
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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