OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

SSA-8510 – Title II and Title XVI general evidence (paper version)

IC 216303 under ICR 202105-0960-007 · OMB 0960-0801.

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

View Information Collection (IC)

SSA-8510 – Title II and Title XVI general evidence (paper version)
 
No Modified
 
Voluntary
 
20 CFR 404.704 20 CFR 404.1926 20 CFR 404.820 - 404.823 20 CFR 416.203 20 CFR 418.3001

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information SSA-8510 - Revised.pdf No   Fillable Printable
Other-Revised PA and PRA Statements Revised PA & PRA Statements.pdf No   Fillable Printable

Income Security General Retirement and Disability

 

8,226 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 8,226 0 0 -11,574 0 19,800
Annual IC Time Burden (Hours) 686 0 0 -964 0 1,650
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-8510 - Current SSA-8510 - Current.pdf 09/22/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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