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Federal forms, ICRs, and supporting documents

Information Collection

SSA-L106 Letter to Custodian of School Records (Beneficiary or Claimant Signature)

IC 238008 under ICR 202207-0960-002 · OMB 0960-0693.

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

View Information Collection (IC)

SSA-L106 Letter to Custodian of School Records (Beneficiary or Claimant Signature)
 
No Removed
 
Required to Obtain or Retain Benefits
 
20 CFR 404.704 20 CFR 416.802 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 and Instruction SSA-L106 Letter to Custodian of School Records SSA-L106 - Revised Version.pdf No   Fillable Printable
Other-Revised Privacy Act Statement Revised Privacy Act Statment - SSA-L106 and SSA-L706.pdf No   Printable Only

Income Security General Retirement and Disability

 

32 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 0 0 0 -32 0 32
Annual IC Time Burden (Hours) 0 0 0 -1 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-L106 - Current Version 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.