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Federal forms, ICRs, and supporting documents

Information Collection

State Death Match - States Expected to Become EDR's within next 3 Years

IC 227858 under ICR 202101-0960-001 · OMB 0960-0700.

Documents and Forms
Document Name
Document Type
Other-Internet Screens for EDR
Other-Internet Screens for EDR
Instruction
Instruction
Instruction
Instruction
Information Collection (IC) Details

View Information Collection (IC)

State Death Match - States Expected to Become EDR's within next 3 Years
 
No Modified
 
Voluntary
 
20 CFR 404.371 20 CFR 404.316 20 CFR 416.912 20 CFR 404.330-341 20 CFR 404.350-352 20 CFR 404.301 20 CFR 404.310-311

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet Screens for EDR Death Screen Images.pdf Yes Yes Fillable Fileable Signable
Instruction Instructions and File Format for States' Use.docx No   Paper Only
Instruction DFSTATE Format.docx Yes Yes Fillable Printable

Income Security General Retirement and Disability

 

5 0
   
State, Local, and Tribal Governments
 
   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 313,000 0 0 -125,200 0 438,200
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 992,210 0 0 -396,884 0 1,389,094

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.