Questionnaire About Special Veterans Benefits

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-2010 Questionnaire About Special Veterans Benefits	Form	Modified	Available
Form SSA-2010 Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	Form	Modified	Repair queued
Supporting Statement - 0782 (Final).docx	Supporting Statement A	Uploaded 2026-01-02	Available
Supporting Statement - 0782 (Final).docx	Supporting Statement A	Uploaded 2026-01-02	Repair queued
Addendum - 0782 (Final).docx	Supplementary Document	Uploaded 2026-01-02	Available
Addendum - 0782 (Final).docx	Supplementary Document	Uploaded 2026-01-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
189024	Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	Form	Modified	Questionnaire About Special Veterans Benefits
189024	Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	Form	Modified
189024	Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	Other-Cover Letter	Modified

ICR Details

OMB Control No: 0960-0782	ICR Reference No: 202509-0960-001
Status: Active	Previous ICR Reference No: 202404-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Questionnaire About Special Veterans Benefits
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/19/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/02/2026
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2029	36 Months From Approved	03/31/2026
Responses	27	0	85
Time Burden (Hours)	23	0	55
Cost Burden (Dollars)	0	0	0

---

Abstract: SSA regularly reviews individuals’ claims for SVB to determine their continued eligibility and the correct payment amounts. Individuals living outside of the United States who receive SVB must report to SSA any changes that may affect their benefits. We initiate this collection request by sending yearly notice with instructions (SSA 2010-F6 Cover Letter), which includes an SSA 2010 F6. Since we cannot rely on self-reporting, SSA uses Form SSA-2010-F6 to collect this required information from beneficiaries living outside the United States (U.S.) who are collecting SVB. All SVB beneficiaries have interviews with the Federal Benefits Unit (FBU) every year, who assist them in completing this form. Respondents are SVB beneficiaries living outside the U.S.

---

Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 403 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 34327	07/21/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 58678	12/17/2025
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	SSA-2010	Questionnaire About Special Veterans Benefits

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	27	85	0	0	-58	0
Annual Time Burden (Hours)	23	55	0	0	-32	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: When we last cleared this IC in 2023, the burden was 28 hours. However, we are currently reporting a burden of 9 hours. This change stems from a decrease in the number of responses from 85 to 27. As we mentioned in #3 above, the respondents are World War II veterans aged 95+, so the respondent pool will continue to decrease over the next several years. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data. Note: The total burden reflected in ROCIS is 23, while the burden cited in #12 of the Supporting Statement is 9. This discrepancy is because the ROCIS burden reflects the learning costs.

---

Annual Cost to Federal Government: $3,844

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/02/2026

---