Private Sector: Paper SSA-11-BK

Request to be Selected as a Payee

OMB: 0960-0014

IC ID: 186310

Information Collection (IC) Details

View Information Collection (IC)

Private Sector: Paper SSA-11-BK
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.601-416.665 20 CFR 404.2010-404.2055

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-11-BK Request to be Selected as Payee SSA-11-BK.pdf No   Paper Only

Income Security General Retirement and Disability

 

7,045 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 7,045 0 0 205 0 6,840
Annual IC Time Burden (Hours) 1,409 0 0 41 0 1,368
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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