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Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence
Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence
OMB: 0960-0002
IC ID: 8863
OMB.report
SSA
OMB 0960-0002
ICR 200806-0960-008
IC 8863
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0002 can be found here:
2011-04-20 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSA-723
Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence
Form
SSA-723 Statement Regarding the Inferred Death of an Individual
0960-0002 (Form SSA-723).pdf
Form
0960-0002 updated PRA statement.doc
Updated 0960-0002 PRA statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
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:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
20 CFR 404.720-.721
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 Unexpected Absence
0960-0002 (Form SSA-723).pdf
No
Paper Only
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
0
0
0
3,000
Annual IC Time Burden (Hours)
1,500
0
0
0
0
1,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Updated 0960-0002 PRA statement
0960-0002 updated PRA statement.doc
06/17/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.