Information Collection

Marriage Certification

IC 8880 under ICR 202007-0960-002 · OMB 0960-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-3 Marriage Certification	Form
Form SSA-3 Marriage Certification Marriage Certification	Form
Revised PA and PRA Statements - SSA-3.pdf	Other-Revised Privacy Act Statement
Revised PA and PRA Statements - SSA-3.pdf	Other-Revised Privacy Act Statement
SSA-3 Marriage Certification SSA-3 - Revised Version.pdf	Form
SSA-3 Marriage Certification SSA-3 - Revised Version.pdf	Form
SSA-3 - Current Version.pdf SSA-3 Current Version	IC Document
SSA-3 - Current Version.pdf SSA-3 Current Version	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.725

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	SSA-3				Yes	No	Fillable Printable
Other-Revised Privacy Act Statement					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 62,342

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	62,342	0	62,342
Annual IC Time Burden (Hours)	61,303	56,108	5,195
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-3 Current Version		08/20/2020

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

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