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Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)
Questionnaire About Special Veterans Benefits
OMB: 0960-0782
IC ID: 189024
OMB.report
SSA
OMB 0960-0782
ICR 202509-0960-001
IC 189024
( )
Documents and Forms
Document Name
Document Type
Form SSA-2010
Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)
Form
Sample letter.pdf
Other-Cover Letter
0960-0782 Privacy Act Statement (revised).docx
Other-Privacy Act Statement revised
Sample Follow-Up Letter.pdf
Other-Follow-up Letter
SSA-2010 Questionnaire About Special Veterans Benefits
SSA-2010 (revised).pdf
Form
SSA-2010 (current).pdf
SSA-2010-F6 - Current
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)
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 408.712
Information Collection Instruments:
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
27
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
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
Documents for IC
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.