Information Collection

SSA-632 - Request for Waiver of Overpayment Recovery

IC 8941 under ICR 202404-0960-011 · OMB 0960-0037.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-632-BK SSA-632 - Request for Waiver of Overpayment Recovery	Form
Form SSA-632-BK Request to Waiver of Overpayment Recovery SSA-632 - Request for Waiver of Overpayment Recovery	Form
Waivers Screen Package.pdf	Other-Electronic Waiver Application
Waivers Screen Package.pdf	Other-Electronic Waiver Application
SSA Internet Instructions for the SSA-632-BK & SSA-634.docx	Other-SSA Internet Instructions for
SSA Internet Instructions for the SSA-632-BK & SSA-634.docx	Other-SSA Internet Instructions for
SSA-632-BK Request to Waiver of Overpayment Recovery SSA-362-BK.pdf	Form
SSA-632-BK Request to Waiver of Overpayment Recovery SSA-632-BK (revised).pdf	Form
SSA-632-BK (current).pdf SSA-632-BK (current)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.572 20 CFR 404.502-404.513 20 CFR 404.515 20 CFR 416.550-416.570 20 CFR 416.581 20 CFR 422.310 20 CFR 404.520-404.521

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-632-BK	Yes	No	Fillable Printable
Other-Electronic Waiver Application Screens		Yes	Yes	Fillable Fileable Signable
Other-SSA Internet Instructions for the SSA-632-BK & SSA-634		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: 400,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400,000	0	400,000
Annual IC Time Burden (Hours)	740,000	340,000	400,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-632-BK (current)		04/08/2025

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].