Information Collection

Ssa Initiated Personal Earnings And Benefit Estimate Statement Questionnaire And Interview Guides (project 2)

IC 115651 under ICR 198910-0960-001 · OMB 0960-0484.

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IC Title:

SSA INITIATED PERSONAL EARNINGS AND BENEFIT ESTIMATE STATEMENT QUESTIONNAIRE AND INTERVIEW GUIDES (PROJECT 2)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-7006				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,450

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,450	5,450
Annual IC Time Burden (Hours)	908	908
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Title	Document	Date Uploaded

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