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Application for Search of Census Records for Proof of Age
Application for Search of Census Records for Proof of Age
OMB: 0960-0097
IC ID: 43694
OMB.report
SSA
OMB 0960-0097
ICR 200812-0960-016
IC 43694
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0097 can be found here:
2021-01-28 - Revision of a currently approved collection
2017-09-15 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSA-1535-U3
Application for Search of Census Records for Proof of Age
Form
SSA-1535-U3 Application for Search of Census Records for Proof of Ag
Application for Search of Census form SSA-1535-U3 REVISED.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Search of Census Records for Proof of Age
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 404.716
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-1535-U3
Application for Search of Census Records for Proof of Age
Application for Search of Census form SSA-1535-U3 REVISED.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:
18,030
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
18,030
0
0
0
0
18,030
Annual IC Time Burden (Hours)
3,606
0
0
0
0
3,606
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.