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Private Printing and Modification of Prescribed Application and Other Forms
Private Printing and Modification of Prescribed Application and Other Forms
OMB: 0960-0663
IC ID: 9711
OMB.report
SSA
OMB 0960-0663
ICR 202207-0960-007
IC 9711
( )
Documents and Forms
Document Name
Document Type
Website Pathing to Instructions 0663.pdf
Instruction
Website Pathing to Instructions 0663.pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Private Printing and Modification of Prescribed Application and Other Forms
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
20 CFR 422.527
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Website Pathing to Instructions 0663.pdf
Yes
Yes
Fillable Fileable
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:
10
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
150
0
0
0
0
150
Annual IC Time Burden (Hours)
25
0
0
0
0
25
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.