SSA-21 - U.S Resident, MCS Macros Version

Supplement To Claim of Person Outside the United States

OMB: 0960-0051

IC ID: 212849

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

SSA-21 - U.S Resident, MCS Macros Version
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 422.505(b) 20 CFR 404.460 20 CFR 404.463 42 CFR 407.27(c)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internal Screens SSA-21 Macros and Script - Revised.docx Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

441 0
   
Individuals or Households
 
   100 %

  Requested 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 441 0 0 -884 0 1,325
Annual IC Time Burden (Hours) 81 0 0 -162 0 243
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Other: Internal Screens SSA-21 Macros and Script - Current.docx 10/24/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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