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View Information Collection (IC)

View Information Collection (IC)

Agency/Employer Government Pension Offset Questionnaire
 
No Modified
 
Voluntary
 
20 CFR 404.408(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-L4163 No   Paper Only
Other-Privacy Act Statement No   Paper Only

Income Security General Retirement and Disability

 

2,911 0
   
State, Local, and Tribal Governments
 
   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 2,911 0 0 0 0 2,911
Annual IC Time Burden (Hours) 485 0 0 339 0 146
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-L4163 - Current 05/03/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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