Information Collection

Ssa-8552

IC 183774 under ICR 202502-0960-005 · OMB 0960-0189.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-8552 SSA-8552	Form
Form SSA-8552 Interview Confirmation SSA-8552	Form
0960-0189 - Updated PA and PRA Statements.pdf	Other-Revised Privacy Act and PRA St
0960-0189 - Updated PA and PRA Statements.pdf	Other-Revised Privacy Act and PRA St
SSA-8552 Interview Confirmation SSA-8552 - Revised Version.pdf	Form
SSA-8552 Interview Confirmation SSA-8552 - Revised Version.pdf	Form
SSA-8552 - Current Version.pdf Current SSA-8552	IC Document
SSA-8552 - Current Version.pdf Current SSA-8552	IC Document

IC Title:

SSA-8552

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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-8552				No		Paper Only
Other-Revised Privacy Act and PRA Statements					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,350

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	2,350	0	2,350
Annual IC Time Burden (Hours)	7,246	6,384	862
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-8552		06/27/2025

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].