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

View Information Collection (IC)

Application for Mother's of Father's Insurance Benefits / SSA-5-F6
 
Yes Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.339-404.342 20 CFR 404.601-404.603

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-5-F6 No   Paper Only

Income Security General Retirement and Disability

 

1,611 0
   
Individuals or Households
 
   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 1,611 0 0 -889 0 2,500
Annual IC Time Burden (Hours) 403 0 0 -222 0 625
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-5 Fact Sheet Webpage 06/08/2009
Addendum to Supporting Statement 06/08/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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