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Federal forms, ICRs, and supporting documents

Information Collection

Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)

IC 189024 under ICR 202509-0960-001 · OMB 0960-0782.

Documents and Forms
Document Name
Document Type
Form
Form
Other-Cover Letter
Other-Cover Letter
Other-Privacy Act Statement revised
Other-Privacy Act Statement revised
Other-Follow-up Letter
Other-Follow-up Letter
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 408.712

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-2010 Questionnaire About Special Veterans Benefits SSA-2010 (revised).pdf Yes No Paper Only
Other-Cover Letter Sample letter.pdf No   Paper Only
Other-Privacy Act Statement revised 0960-0782 Privacy Act Statement (revised).docx Yes No Paper Only
Other-Follow-up Letter Sample Follow-Up Letter.pdf No   Paper Only

Income Security General Retirement and Disability

 

27 0
   
Individuals or Households
 
   0 %

  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 27 0 0 -58 0 85
Annual IC Time Burden (Hours) 23 0 0 -32 0 55
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-2010-F6 - Current SSA-2010 (current).pdf 12/17/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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