Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)

Questionnaire About Special Veterans Benefits

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0782 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-2010-F6 Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB) Form
SSA-2010-F6 - Cover Letter.pdf Other-SSA-2010-F6 - Cover Letter
SSA-2010-F6 - Cover Letter.pdf Other-SSA-2010-F6 - Cover Letter
Revised PA & PRA Statements.pdf Other-Revised PA & PRA Statements
Revised PA & PRA Statements.pdf Other-Revised PA & PRA Statements
SSA-2010-F6 Questionnaire About Special Veterans Benefits SSA-2010-F6 - Revised.pdf Form
SSA-2010-F6 Questionnaire About Special Veterans Benefits SSA-2010-F6 - Revised.pdf Form
SSA-2010-F6 - Current.pdf SSA-2010-F6 - Current IC Document
SSA-2010-F6 - Current.pdf SSA-2010-F6 - Current IC Document

Information Collection (IC) Details

IC Title:	Statement for Determining Continuing Entitlement for Special Veternans Benefits (SVB)	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 408.712

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2010-F6	Questionnaire About Special Veterans Benefits	SSA-2010-F6 - Revised.pdf	Yes	No	Fillable Printable
Other-SSA-2010-F6 - Cover Letter			SSA-2010-F6 - Cover Letter.pdf	Yes	No	Fillable Printable
Other-Revised PA & PRA Statements			Revised PA & PRA Statements.pdf	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	85	-297	382
Annual IC Time Burden (Hours)	55	-72	127
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-2010-F6 - Current	SSA-2010-F6 - Current.pdf	08/31/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.