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View Information Collection (IC)

View Information Collection (IC)

HA-4633 - Paper Version
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1565(b) 20 CFR 416.912(a) 20 CFR 404.1520(a)(4) 20 CFR 416.920(a)(4) 20 CFR 404.1512(a) 20 CFR 416.965(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HA-4633 www.ssa.gov (mySocial Security Account - Upload Documents) No   Fillable Fileable Signable

Income Security General Retirement and Disability

 

48,450 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 48,450 0 0 16,150 0 32,300
Annual IC Time Burden (Hours) 16,150 0 0 0 0 16,150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HA-4633 - Prior to Implementation of the PRW Rule 03/11/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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