Information Collection

SSA-L706 Letter to Custodian of Birth Records (Respondent's Signature Only)

IC 238009 under ICR 202604-0960-013 · OMB 0960-0693.

Documents and Forms

Document Name Document Type
Form SSA-L706 Letter to Custodian of Birth Records SSA-L706 Letter to Custodian of Birth Records (Respondent's Signature Only) Form and Instruction
SSA-L706 Letter to Custodian of Birth Records SSA-L706.pdf www.ssa.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SSA-L706 Letter to Custodian of Birth Records (Respondent's Signature Only)	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 404.716 20 CFR 422.107 20 CFR 416.802 20 CFR 404.704

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-L706	Letter to Custodian of Birth Records	SSA-L706.pdf	www.ssa.gov	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 573	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	573	0	573
Annual IC Time Burden (Hours)	296	286	10
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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