OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Certificate of Support

IC 8859 under ICR 202105-0960-003 · OMB 0960-0001.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Other-Revised PA & PRA Statements
Other-Revised PA & PRA Statements
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Certificate of Support
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.370 20 CFR 404.750 20 CFR 404.408a

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-760 Certificate of Support SSA-760 - Revised.pdf Yes No Fillable Printable
Other-Revised PA & PRA Statements Revised PA & PRA Statements.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

 

18,000 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 18,000 0 0 0 0 18,000
Annual IC Time Burden (Hours) 9,000 0 0 4,500 0 4,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-760 - Current SSA-760 - Current.pdf 11/05/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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