L106, Letter to Custodian of School Records (Local/State/Tribal Government)

Letter to Custodian of Birth Records

OMB: 0960-0693

IC ID: 182865

Information Collection (IC) Details

View Information Collection (IC)

L106, Letter to Custodian of School Records (Local/State/Tribal Government)
 
No Removed
 
Required to Obtain or Retain Benefits
 
20 CFR 416.802 20 CFR 404.704 20 CFR 404.716 20 CFR 422.107

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-L106 Letter to Custodian of Birth Records SSA-L106 - Revised Version.pdf No   Fillable Printable
Other-Revised PA Statement Revised Privacy Act Statment - SSA-L106 and SSA-L706.pdf No   Paper Only

Income Security General Retirement and Disability

 

14 0
   
State, Local, and Tribal Governments
 
   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 0 0 0 -14 0 14
Annual IC Time Burden (Hours) 0 0 0 -2 0 2
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-L106 - Current SSA-L106 - Current Version.pdf 10/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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