WORK ACTIVITY REPORT-SELF EMPLOYED PERSON - WORK ACTIVITY REPORT-EMPLOYEE

ICR 198203-0960-012

OMB: 0960-0059

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0059 198203-0960-012
Historical Active 198004-0960-002
SSA
WORK ACTIVITY REPORT-SELF EMPLOYED PERSON - WORK ACTIVITY REPORT-EMPLOYEE
Revision of a currently approved collection   No
Regular
Approved without change 05/03/1982
Retrieve Notice of Action (NOA) 03/24/1982
Approved on the condition that self-employed persons are required to provide only tax schedules SE and C or F and form 1065 as appropriate. Requirement of other tax forms or schedules is not approved.
  Inventory as of this Action Requested Previously Approved
04/30/1984 04/30/1984 04/30/1982
200,000 0 150,000
100,000 0 75,000
0 0 0

SECTION 223(D)(4), 223(D)(5),AND 1633 OF THE SOCIAL SECURITY ACT PROVIDE REGULATIONS AND ADMINISTERING THE DISABILITY PROVISIONS OF THE LAW. THE INFORMATION ON SSA-820 F4 IS USED TO SECURE INFORMATION ON A SOCIAL SECURITY APPLICANT'S SELF-EMPLOYMENT ACTIVITIES, AND THE SSA-821 F4 IS USED TO SECURE INFORMATION ON A DISABILITY APPLICANT'S ACTIVITIES AS AN EMPLOYEE.

None
None


No

1
IC Title Form No. Form Name
WORK ACTIVITY REPORT-SELF EMPLOYED PERSON - WORK ACTIVITY REPORT-EMPLOYEE SSA-820-F4, (3-82), 821-F4

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200,000 150,000 0 50,000 0 0
Annual Time Burden (Hours) 100,000 75,000 0 25,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/24/1982


© 2024 OMB.report | Privacy Policy