View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	SSA-723 - Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.721 20 CFR 404.720

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-723	Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence	SSA-723.pdf		No		Fillable Printable
Other-PRA Statement			PRA Statement.pdf		No		Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	3,000	0	3,000	0	0	0
Annual IC Time Burden (Hours)	1,500	0	1,500	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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