Information Collection

Request for Waiver of Overpayment Recovery

IC 8941 under ICR 201403-0960-007 · OMB 0960-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0037 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-632-BK Request for Waiver of Overpayment Recovery Form
SSA-632-BK Request to Waiver of Overpayment Recovery SSA-632-BK Revised Version.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Waiver of Overpayment Recovery	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 404.502-404.513 20 CFR 416.572 20 CFR 404.515 20 CFR 416.550-416.570 20 CFR 416.581 20 CFR 422.310 20 CFR 404.520-404.521

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-632-BK	Request to Waiver of Overpayment Recovery	SSA-632-BK Revised Version.pdf		No		Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	400,000	400,000
Annual IC Time Burden (Hours)	800,000	800,000
Annual IC Cost Burden (Dollars)	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.