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Federal forms, ICRs, and supporting documents

Information Collection

Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6

IC 8887 under ICR 202105-0960-008 · OMB 0960-0012.

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

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Application for Parent's Insurance Benefits / Modernized Claims System (MCS) / Signature Proxy / SSA-7-F6
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.370-.371 20 CFR 404.601-.603 20 CFR 404.373-.374

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-7-F6 - Revised Application for Parent's Insurance Benefits SSA-7-F6 - Revised.pdf Yes No Fillable Printable
Other-Electronic Screens MCS Screens.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

329 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 329 0 0 161 0 168
Annual IC Time Burden (Hours) 82 0 0 40 0 42
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-7-F6 - Current SSA-7-F6 - 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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