Information Collection

Cert Electg Soc Sec Coverage Under The Fed Ins Contribut Act List To Acco Cert On Fr Ss-15 Electg Soc Sec Covge Unde Fica Amendment To List On Form Ss-15 Under The Fica

IC 127846 under ICR 198104-1545-005 · OMB 1545-0005.

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Information Collection (IC) Details

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IC Title:	CERT ELECTG SOC SEC COVERAGE UNDER THE FED INS CONTRIBUT ACT LIST TO ACCO CERT ON FR SS-15 ELECTG SOC SEC COVGE UNDE FICA AMENDMENT TO LIST ON FORM SS-15 UNDER THE FICA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SS-15A SUPP	No	No
Form	SS-15	No	No
Form	SS-15A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	15,000	15,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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