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

View Information Collection (IC)

Certificate of Coverage Request via Letter - Employers (minus Denmark, Iceland, Netherlands, Norway, Sweden, Germany, Italy, Spain, Uruguay, France, Japan, Belgium, and Poland)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1913

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Certificate of Coverage Country Agreement http://www.ssa.gov/international/Agreement_Pamphlets/austrlia.html Yes No Printable Only
Other-Totalization Agreements http://www.ssa.gov/international/totalization_agreements.html Yes No Printable Only
Other-Revised Privacy Act Statement Yes No Printable Only
Other-Revised Employer Mailing Address Screen http://www.ssa.gov/international/Agreement Yes No Paper Only

Income Security General Retirement and Disability

 

76 0
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   0 %

  Requested 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 76 0 -35 -1,024 0 1,135
Annual IC Time Burden (Hours) 51 0 -24 -682 0 757
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current Employer Mailing Address Screen 02/24/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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