Information Collection

Request For Address Information From Motor Vehicle Records Request For Address Information From Employment Commissions Records

IC 115349 under ICR 198604-0960-005 · OMB 0960-0341.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0341 can be found here:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	REQUEST FOR ADDRESS INFORMATION FROM MOTOR VEHICLE RECORDS REQUEST FOR ADDRESS INFORMATION FROM EMPLOYMENT COMMISSIONS RECORDS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-L711				No	No
Form	SSA-L712				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30,000	-70,000	100,000
Annual IC Time Burden (Hours)	1,000	-2,333	3,333
Annual IC Cost Burden (Dollars)	0	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.