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Federal forms, ICRs, and supporting documents

Information Collection

Certification of Elections for Reduced Spouse's Benefits

IC 9256 under ICR 202107-0960-008 · OMB 0960-0398.

Documents and Forms
Document Name
Document Type
Form
Form
Other-Revised Privacy Act Statement
Other-Revised Privacy Act Statement
Other-PRA Statement (revised)
Other-PRA Statement (revised)
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Certification of Elections for Reduced Spouse's Benefits
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.421

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-25 Certificate of Election for Reduced Spouse’s Benefits SSA-25 (revised).pdf www.ssa.gov Yes No Fillable Printable
Other-Revised Privacy Act Statement Privacy Act Statement 0398 (revised).docx Yes No Printable Only
Other-PRA Statement (revised) 0398 PRA Statement (revised).docx No   Paper Only

Income Security General Retirement and Disability

 

30,000 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 30,000 0 0 0 0 30,000
Annual IC Time Burden (Hours) 6,500 0 0 5,500 0 1,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-25 SSA-25 (current).pdf 09/02/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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