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f) 20 CFR 411.575 - Requesting EN Payments - SSA-1391; SSA-1398
 
No Modified
 
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

Income Security General Retirement and Disability

 

1,704 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 1,704 0 0 0 0 1,704
Annual IC Time Burden (Hours) 1,136 0 0 0 0 1,136
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Removed Form SSA-1398 01/15/2021
Removed Form SSA-1399 01/15/2021
SSA-1389 EN Certification of Services 01/18/2024
Current SSA-1391 03/25/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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