Questionnaire for Children Claiming SSI Benefits

Questionnaire for Children Claiming SSI Benefits

OMB: 0960-0499

IC ID: 9392

Information Collection (IC) Details

View Information Collection (IC)

Questionnaire for Children Claiming SSI Benefits
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.912(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Revised PRA Statement Revised PRA Statement.pdf Yes No Fillable Printable
Form SSA-3881 BK Questionnaire for Children Claiming SSI Benefits SSA-3881-BK - Revised.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

 

125,000 0
   
Individuals or Households
 
   0 %

  Requested 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 125,000 0 0 -5,000 0 130,000
Annual IC Time Burden (Hours) 62,500 0 0 -2,500 0 65,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Questionnaire for Children Claiming SSI Benefits - Current SSA-3881-BK - Current.pdf 09/08/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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