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Request for Deceased Individual's Social Security Record
Report of Deceased Individual's Social Security Record
OMB: 0960-0665
IC ID: 189491
OMB.report
SSA
OMB 0960-0665
ICR 202304-0960-002
IC 189491
( )
Documents and Forms
Document Name
Document Type
FOIAonline Screens - SSA Pathing to Federal FOIA Screens.pdf
www.socialsecurity.gov and foiaonline.gov/foiaonline/action/public/request
Other-Internet Screens
FOIAonline Screens - SSA Pathing to Federal FOIA Screens.pdf
www.socialsecurity.gov and foiaonline.gov/foiaonline/action/public/request
Other-Internet Screens
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for Deceased Individual's Social Security Record
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
20 CFR 402.130
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Internet Screens
FOIAonline Screens - SSA Pathing to Federal FOIA Screens.pdf
www.socialsecurity.gov and https://foiaonline.gov/foiaonline/action/public/request
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
49,800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
99 %
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
49,800
0
0
0
0
49,800
Annual IC Time Burden (Hours)
30,710
0
0
0
0
30,710
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.