Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence

Documents and Forms

Document Name Document Type
Form SSA-723 Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence Form
SSA-723 Statement Regarding the Inferred Death of an Individual ssa-723 (revised).pdf Form
ssa-723.pdf SSA-723 (current) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.720-.721

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-723	Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexpected Absence	ssa-723 (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: 3,000	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	3,000	3,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-723 (current)	ssa-723.pdf	01/18/2011

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