Letter to Employer Requesting Information about Wages Earned by Beneficiary

Letter to Employer Requesting Information about Wages Earned by Beneficiary

OMB: 0960-0034

IC ID: 8931

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Letter to Employer Requesting Information about Wages Earned by Beneficiary
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-L725 No No


    

150,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 150,000 0 0 0 0 150,000
Annual IC Time Burden (Hours) 100,000 0 0 0 0 100,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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