OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Marital Relationship Questionnaire

IC 187842 under ICR 202005-0960-004 · OMB 0960-0460.

Documents and Forms
Document Name
Document Type
Other-SSI Claims System Screen
Other-SSI Claims System Screen
Information Collection (IC) Details

View Information Collection (IC)

Marital Relationship Questionnaire
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1826

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-SSI Claims System Screen SSI Claims System Screen.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

1,275 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 1,275 0 0 0 0 1,275
Annual IC Time Burden (Hours) 106 0 0 0 0 106
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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