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Federal forms, ICRs, and supporting documents

Information Collection

Application for Lump-Sum Death Payment - Paper & Upload Documents Version

IC 8890 under ICR 202603-0960-003 · OMB 0960-0013.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Revised PA Statement
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Application for Lump-Sum Death Payment - Paper & Upload Documents Version
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.390-404.392

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-8 Application For Lump-Sum Death Payment SSA-8 - Revised Version.pdf www.ssa.gov (Upload Documents) Yes No Fillable Printable
Other-Revised PA Statement SSA-8 - Revised Privacy Act Statement.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

 

6,829 0
   
Individuals or Households
 
   100 %

  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 6,829 0 0 1,082 0 5,747
Annual IC Time Burden (Hours) 2,618 0 0 1,660 0 958
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-8 - Current Version SSA-8 - Current Version.pdf 06/22/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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