Information Collection

SSA-8510 – Title II and Title XVI general evidence (Upload documents)

IC 216304 under ICR 202606-0960-007 · OMB 0960-0801.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-8510 (revised).pdf	Other-SSA-8510 Upload Documents
Privacy Act Statement 0801 (revised).docx	Other-Privacy Act Statement (revised
SSA-8510 (current).pdf SSA-8510	IC Document

IC Title:

SSA-8510 â Title II and Title XVI general evidence (Upload documents)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.820 - 404.823 20 CFR 404.704 20 CFR 404.1926 20 CFR 404.1926 20 CFR 418.3001

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-SSA-8510 Upload Documents					Yes	Yes	Fillable Fileable Signable
Other-Privacy Act Statement (revised)					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,849

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,849	-189,386	192,235
Annual IC Time Burden (Hours)	475	-15,545	16,020
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-8510		07/07/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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