Information Collection

Information About Joint Checking/Savings Account - Paper Version

IC 9346 under ICR 202204-0960-007 · OMB 0960-0461.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-2574 Information About Joint Checking/Savings Account - Paper Version	Form
Form SSA-2574 Information About Joint Checking/Savings Accounts Information About Joint Checking/Savings Account - Paper Version	Form
Revised PA & PRA Statements.pdf	Other-Revised PA & PRA Statements
Revised PA & PRA Statements.pdf	Other-Revised PA & PRA Statements
SSA-2574 Information About Joint Checking/Savings Accounts SSA-2574 - Revised.pdf	Form
SSA-2574 Information About Joint Checking/Savings Accounts SSA-2574 - Revised.pdf	Form
SSA-2574 - Current.pdf SSA-2574 - Current	IC Document
SSA-2574 - Current.pdf SSA-2574 - Current	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 416.1201(b) 20 CFR 416.1208

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2574				Yes	No	Fillable Printable
Other-Revised PA & PRA Statements					Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	5,833	5,833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-2574 - Current		08/18/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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