Information Collection

Information About Joint Checking/Savings Account - Paper Version

IC 9346 under ICR 201902-0960-004 · OMB 0960-0461.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0461 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-2574 Information About Joint Checking/Savings Account - Paper Version Form
SSA-2574 Information About Joint Checking/Savings Accounts SSA-2574 - Revised.pdf Form
SSA-2574 - Current.pdf SSA-2574 - Current IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information About Joint Checking/Savings Account - Paper Version	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 416.1201(b) 20 CFR 416.1208

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2574	Information About Joint Checking/Savings Accounts	SSA-2574 - Revised.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	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	50,000	50,000
Annual IC Time Burden (Hours)	5,833	5,833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-2574 - Current	SSA-2574 - Current.pdf	03/12/2019

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