Information Collection

Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)

IC 189024 under ICR 201908-0960-002 · OMB 0960-0782.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0782 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-2010-F6 Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	Form
SSA-2010 - Cover Letter.pdf	Other-Cover Letter
SSA-2010 - Revised PA Statement.pdf	Other-Revised Privacy Act Statement
SSA-2010-F6 Questionnaire About Special Veterans Benefits SSA-2010-F6 - Revised Version.pdf	Form
SSA-2010-F6 - Current Version.pdf SSA-2010 Current Version	IC Document

IC Title:

Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 408.712

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	SSA-2010-F6	Questionnaire About Special Veterans Benefits	SSA-2010-F6 - Revised Version.pdf	No	Paper Only
Other-Cover Letter			SSA-2010 - Cover Letter.pdf	No	Paper Only
Other-Revised Privacy Act Statement			SSA-2010 - Revised PA Statement.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 382

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	Previously Approved
Annual Number of Responses for this IC	382	-1,417	1,799
Annual IC Time Burden (Hours)	127	-473	600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-2010 Current Version	SSA-2010-F6 - Current Version.pdf	08/02/2019

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