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

View Information Collection (IC)

Certificate of Coverage Request via Letter - Individuals in Germany, Italy, Spain, Uruguay
 
No New
 
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-Internet Screens http://www.socialsecurity.gov/international/Agreement_Pamphlets/netherld.html Yes Yes Fillable Fileable Signable
Other-Totalization Agreements http://www.ssa.gov/international/totalization_agreements.html Yes No Printable Only
Other-Updated Privacy Act Statement Yes No Printable Only
Other-Revised Mailing Address Screen http://www.ssa.gov/international/Agreement Yes No Printable Only

Income Security General Retirement and Disability

 

12 0
   
Individuals or Households
 
   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 12 0 12 0 0 0
Annual IC Time Burden (Hours) 9 0 9 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current 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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