Information Collection

Modified Benefit Formula Questionnaire - Foreign Pension

IC 9495 under ICR 202410-0960-014 · OMB 0960-0561.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0561 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-308 Modified Benefit Formula Questionnaire - Foreign Pension	Form
Form SSA-308 Modified Benefit Formula Questionnaire-Foreign Pension Modified Benefit Formula Questionnaire - Foreign Pension	Form
Form SSA-308 Modified Benefit Formula Questionnaire-Foreign Pension Modified Benefit Formula Questionnaire - Foreign Pension	Form and Instruction
SSA-308 Modified Benefit Formula Questionnaire-Foreign Pension Form SSA-308 Revised.pdf	Form
SSA-308 Modified Benefit Formula Questionnaire-Foreign Pension Form SSA-308 Revised.pdf	Form
SSA-308 Modified Benefit Formula Questionnaire-Foreign Pension CCE Screen Package SSA-308.pdf	Form and Instruction
SSA-308 Modified Benefit Formula Questionnaire-Foreign Pension CCE Screen Package SSA-308.pdf	Form and Instruction
SSA-308 Current.pdf Modified Benefit Formula Questionnaire-Foreign Pension	IC Document
SSA-308 Current.pdf Modified Benefit Formula Questionnaire-Foreign Pension	IC Document

IC Title:

Modified Benefit Formula Questionnaire - Foreign Pension

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-308				Yes	No	Fillable Printable
Form and Instruction	SSA-308				No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,465

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	2,465	2,465
Annual IC Time Burden (Hours)	1,643	1,643
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Modified Benefit Formula Questionnaire-Foreign Pension		10/23/2024

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

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