Information Collection

Application for Search of Census Records for Proof of Age

IC 43694 under ICR 202012-0960-007 · OMB 0960-0097.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1535-U3 Application for Search of Census Records for Proof of Age	Form
Revised PRA Statement.pdf	Other-Revised PRA Statement
Revised PRA Statement.pdf	Other-Revised PRA Statement
SSA-1535-U3 Application for Search of Census Records for Proof of Ag SSA-1535-U3 - Revised.pdf	Form
SSA-1535-U3 Application for Search of Census Records for Proof of Ag SSA-1535-U3 - Revised.pdf	Form
SSA-1535-U3 - Current.pdf SSA-1535-U3 - Current	IC Document
SSA-1535-U3 - Current.pdf SSA-1535-U3 - Current	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 404.716

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-1535-U3	Application for Search of Census Records for Proof of Age	SSA-1535-U3 - Revised.pdf		No		Paper Only
Other-Revised PRA Statement			Revised PRA Statement.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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	15	-18,015	18,030
Annual IC Time Burden (Hours)	11	-3,595	3,606
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-1535-U3 - Current	SSA-1535-U3 - Current.pdf	12/18/2020

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