Ssa-4659

Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook

OMB: 0960-0189

IC ID: 183268

Information Collection (IC) Details

View Information Collection (IC)

SSA-4659
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4659 Stewardship Annual Earnings Test Workbook SSA-4659 - Revised.pdf No   Paper Only

Income Security General Retirement and Disability

 

325 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 325 0 0 0 0 325
Annual IC Time Burden (Hours) 54 0 0 0 0 54
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-4659 - Current SSA-4659 - Current.pdf 10/06/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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