Information Collection

Internet Social Security Benefits (ISBA) Application - 20 CFR 404.310-404.311, 20 CFR 404.330-404.333 & 20 CFR 404

IC 9626 under ICR 200211-0960-002 · OMB 0960-0618.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0618 can be found here:

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Information Collection (IC) Details

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IC Title:	Internet Social Security Benefits (ISBA) Application - 20 CFR 404.310-404.311, 20 CFR 404.330-404.333 & 20 CFR 404	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 169,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	169,000	0	169,000
Annual IC Time Burden (Hours)	60,277	402	59,875
Annual IC Cost Burden (Dollars)	0	0	0

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