OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Ssa-9310

IC 179416 under ICR 202602-0960-007 · OMB 0960-0707.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Revised PA Statement
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SSA-9310
 
No Modified
 
Voluntary
 
20 CFR 418(b)(5)  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-9310 Request for Documents SSA-9310(revised).pdf No   Paper Only
Other-Revised PA Statement Privacy Act Statement.docx No   Paper Only

Income Security General Retirement and Disability

 

3,500 0
   
Individuals or Households
 
   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 3,500 0 0 0 0 3,500
Annual IC Time Burden (Hours) 292 0 0 0 0 292
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-9310 SSA-9310(current).pdf 05/24/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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