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Modified Benefit Formula Questionnaire - Foreign Pension
Modified Benefit Formula Questionnaire-Foreign Pension
OMB: 0960-0561
IC ID: 9495
OMB.report
SSA
OMB 0960-0561
ICR 202103-0960-005
IC 9495
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0561 can be found here:
2024-10-24 - No material or nonsubstantive change to a currently approved collection
2024-09-24 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSA-308
Modified Benefit Formula Questionnaire - Foreign Pension
Form
Revised PA Statement.pdf
Other-Revised PA Statement
SSA-308 Screen Shots.pdf
Other-MCS/POS Screens
SSA-308 Modified Benefit Formula Questionnaire--Foreign Pension
SSA-308 - Revised.pdf
Form
SSA-308 - Current.pdf
SSA-308 - Current
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Modified Benefit Formula Questionnaire - Foreign Pension
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-308
Modified Benefit Formula Questionnaire--Foreign Pension
SSA-308 - Revised.pdf
No
Fillable Printable
Other-Revised PA Statement
Revised PA Statement.pdf
No
Fillable Printable
Other-MCS/POS Screens
SSA-308 Screen Shots.pdf
No
Fillable Printable
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:
2,465
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
2,465
0
0
39
0
2,426
Annual IC Time Burden (Hours)
1,643
0
0
1,239
0
404
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA-308 - Current
SSA-308 - Current.pdf
11/28/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.