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SSA- 1026-REDE SSA Review of Your Eligibility for Extra Help

IC 9780 under ICR 202012-0960-009 · OMB 0960-0723.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Other-Intranet Screens
Other-Intranet Screens
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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SSA- 1026-REDE SSA Review of Your Eligibility for Extra Help
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 418.3125

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-1026-REDE SSA Review of Your Eligibility for Extra Help SSA-1026-REDE - Revised.pdf No   Paper Only
Other-Intranet Screens i1026 Application Screen Shots.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

120,220 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 120,220 0 0 21,230 0 98,990
Annual IC Time Burden (Hours) 36,066 0 0 6,369 0 29,697
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-1026-REDE - Current Version SSA-1026 REDE - Current.pdf 03/08/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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