Information Collection

Supplement To Claim of Person Outside the United States 20 CFR 406.460, 404.463, 422.505(b), 42 CFR 407.27(c)

IC 8968 under ICR 200512-0960-008 · OMB 0960-0051.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0051 can be found here:

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Information Collection (IC) Details

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IC Title:	Supplement To Claim of Person Outside the United States 20 CFR 406.460, 404.463, 422.505(b), 42 CFR 407.27(c)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-21				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	35,000	0	35,000
Annual IC Time Burden (Hours)	5,833	2,916	2,917
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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