Certification of Elections for Reduced Spouse's Benefits

Documents and Forms

Document Name Document Type
Form SSA-25 Certification of Elections for Reduced Spouse's Benefits Form
Privacy Act Statement 0398 (revised).docx Other-Revised Privacy Act Statement
0398 PRA Statement (revised).docx Other-PRA Statement (revised)
SSA-25 Certificate of Election for Reduced Spouse’s Benefits SSA-25 (revised).pdf www.ssa.gov Form
SSA-25 (current).pdf Current SSA-25 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of Elections for Reduced Spouse's Benefits	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 404.421

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-25	Certificate of Election for Reduced Spouse’s Benefits	SSA-25 (revised).pdf	www.ssa.gov	Yes	No	Fillable Printable
Other-Revised Privacy Act Statement			Privacy Act Statement 0398 (revised).docx		Yes	No	Printable Only
Other-PRA Statement (revised)			0398 PRA Statement (revised).docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30,000	0	30,000
Annual IC Time Burden (Hours)	6,500	5,500	1,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-25	SSA-25 (current).pdf	09/02/2021

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