View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

SSA-1003
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1056 20 CFR 404.802 20 CFR 404.702

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1003 Yes No Fillable Printable
Other-Revised PA Statement Yes No Fillable Printable
Other-Paperwork Reduction Act revised No   Fillable Printable

Income Security General Retirement and Disability

 

25,000 0
   
Private Sector Farms, Businesses or other for-profits
 
   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 25,000 0 0 0 0 25,000
Annual IC Time Burden (Hours) 35,000 0 0 22,500 0 12,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-1003-F3 08/19/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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