Government to Government Services Online Website Account Modification/Deletion Form SSA-119

Government to Government Services Online Website Registration, Government to Government Services Online Website Account Modification/Deletion Form

OMB: 0960-0757

IC ID: 180142

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Document Name
Document Type
Instruction
Other-Screen Shots
Form
IC Document
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Government to Government Services Online Website Account Modification/Deletion Form SSA-119
 
No New
 
Mandatory
 
20 CFR 401.45

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Guidelines for eData Acct Modification-Deletion Form 05-2007.doc Yes Yes Fillable Fileable
Form SSA-119 Government to Government Services Online Website Account Modification/Deletion Form eData Account Modification-Deletion Form 05-2007.doc Yes Yes Fillable Fileable
Other-Screen Shots GSO Screen Shots for OMB.doc https://s044a90.ssa.gov/acu/iresear/login?YRL=/apps8/websuite/EDATA_home.xfm Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

1,575 0
   
State, Local, and Tribal Governments
 
   100 %

  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 1,575 0 1,575 0 0 0
Annual IC Time Burden (Hours) 394 0 394 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PRA Statement PRA Statement.doc 05/14/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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