Information Collection

SSA-21 - U.S Resident, MCS Macros Version

IC 212849 under ICR 202502-0960-012 · OMB 0960-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-21 Macros and Script.docx	Other-Internal Screens
SSA-21 Macros and Script.docx	Other-Internal Screens

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 404.460 20 CFR 422.505(b) 20 CFR 404.463 42 CFR 407.27(c)

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
Other-Internal Screens					Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 371

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	371	-70	441
Annual IC Time Burden (Hours)	1,243	1,162	81
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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