Information Collection

Request For Wage Information From Employer After Report To Irs From Ssa

IC 130104 under ICR 198109-1545-159 · OMB 1545-0552.

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Information Collection (IC) Details

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IC Title:	REQUEST FOR WAGE INFORMATION FROM EMPLOYER AFTER REPORT TO IRS FROM SSA	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	LETTER	No	No
Form	99C, 99SC,	No	No
Form	99SC/SP	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 593	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,372	2,372
Annual IC Time Burden (Hours)	1,186	1,186
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.