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Federal forms, ICRs, and supporting documents

Information Collection

SSA-1 MCS Signature Proxy

IC 179338 under ICR 202411-0960-011 · OMB 0960-0618.

Documents and Forms
Document Name
Document Type
Other-MCS/Signature Proxy
Other-MCS/Signature Proxy
Other-Internal Screens
Other-Internal Screens
Information Collection (IC) Details

View Information Collection (IC)

SSA-1 MCS Signature Proxy
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.315-.322 20 CFR 404.310-.311 20 CFR 1501.-.1512 20 CFR 404.601-.603 20 CFR 404.330-.333

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-MCS/Signature Proxy SSA-1 - MCS Screen Shot.pdf Completed by SSA employee during field office interview Yes Yes Fillable Printable
Other-Internal Screens CCE Screen Package SSA-1.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

 

1,925,180 0
   
Individuals or Households
 
   100 %

  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 1,925,180 0 0 0 0 1,925,180
Annual IC Time Burden (Hours) 1,283,453 0 0 0 0 1,283,453
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.