Statement Regarding Contributions and Support of Children

Statement Regarding Contributions and Support of Children

OMB: 3220-0195

IC ID: 34014

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form
IC Document
IC Document
Information Collection (IC) Details

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Statement Regarding Contributions and Support of Children
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 222.50 20 CFR 222.53 20 CFR 222.55 20 CFR 222.51 20 CFR 222.57 20 CFR 222.56

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-139 Statement Regarding Contributions and Support of Children Form G-139 (04-17).pdf No   Paper Only
Form G-139 (Proposed) Statement Regarding Contributions and Support of Children Form G-139 (xx-xx) - Proposed.pdf No   Printable Only

Income Security General Retirement and Disability

RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System   79 FR 58874

500 0
   
Individuals or Households
 
   0 %

  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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 500 0 0 0 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Statement Regarding Contribution SSA-783 (06-2019).pdf 11/23/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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