Information Collection

You Can Make Your Payment by Credit Card

IC 9349 under ICR 200609-0960-003 · OMB 0960-0462.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0462 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-4588 You Can Make Your Payment by Credit Card	Form and Instruction
PRA--0462.doc	Other-Revised Paperwork Reduction Ac
SSA-4588 You Can Make Your Payment By Credit Card S4588OP1.pdf	Form and Instruction
SSA-4589 You Can Make Your Payment By Credit Card S4589OP1.pdf	Form and Instruction

IC Title:

You Can Make Your Payment by Credit Card

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	SSA-4588	You Can Make Your Payment By Credit Card	S4588OP1.pdf	No	Paper Only
Form and Instruction	SSA-4589	You Can Make Your Payment By Credit Card	S4589OP1.pdf	No	Paper Only
Other-Revised Paperwork Reduction Act Statement for both the SSA-4588 and SSA-4589			PRA--0462.doc	No	Paper Only

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	60,000	41,000	19,000
Annual IC Time Burden (Hours)	5,000	3,417	1,583
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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