OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Statement Regarding Contributions and Support of Children

IC 34014 under ICR 202411-3220-001 · OMB 3220-0195.

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Statement Regarding Contributions and Support of Children
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 222.50 20 CFR 222.53 20 CFR 222.55 20 CFR 222.51 20 CFR 222.57 20 CFR 222.56

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-139 Statement Regarding Contributions and Support of Children Form G-139 (07-21) - Current.pdf No   Paper Only
Form G-139 (Proposed) Statement Regarding Contributions and Support of Children Form G-139 (XX-XX) - Proposed.pdf No   Printable Only

Income Security General Retirement and Disability

RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System   79 FR 58874

400 0
   
Individuals or Households
 
   0 %

  Requested 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 400 0 0 -100 500 0
Annual IC Time Burden (Hours) 400 0 0 -100 500 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Statement Regarding Contribution SSA-783 (06-2019).pdf 11/23/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.