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f) 20 CFR 411.575 - SSA-1391; SSA-1389; SSA-1393; SSA-1399; SSA-1396; SSA-1398
 
No Unchanged
 
Mandatory
 
20 CFR 411.575

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-1391 No   Paper Only
Form and Instruction SSA-1389 No   Paper Only
Form and Instruction SSA-1393 No   Printable Only
Form and Instruction SSA-1399 Yes No Printable Only
Form and Instruction SSA-1396 Yes No Printable Only
Form and Instruction SSA-1398 Yes No Printable Only
Other-screens Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

2,805 0
   
State, Local, and Tribal Governments
 
   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 2,805 0 0 0 0 2,805
Annual IC Time Burden (Hours) 1,870 0 0 0 0 1,870
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-1389 04/05/2012
Current SSA-1391 04/05/2012
Current SSA-1393 04/05/2012
Current SSA-1396 04/05/2012
Current SSA-1398 04/05/2012
Current SSA-1399 04/05/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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