Pre-1957 Military Service Federal Questionnaire

Pre-1957 Military Service Federal Questionnaire

OMB: 0960-0120

IC ID: 9093

Information Collection (IC) Details

View Information Collection (IC)

Pre-1957 Military Service Federal Questionnaire
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1301-404.1371

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-2512 Pre-1957 Military Service--Federal Benefit Questionnaire SSA-2512 - Revised.pdf No   Fillable Printable
Other-Revised PA & PRA Statements Revised PA & PRA Statements.pdf No   Fillable Printable

Income Security General Retirement and Disability

 

5,000 0
   
Individuals or Households
 
   0 %

  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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 3,333 0 0 2,500 0 833
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-2512 - Current SSA-2512 - Current.pdf 05/18/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy