Information Collection

Information About Joint Checking/Savings Account--MSSICS Version

IC 180315 under ICR 200705-0960-015 · OMB 0960-0461.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0461 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-2574 (MSSICS S Information About Joint Checking/Savings Account--MSSICS Version Form
SSA-2574 (MSSICS S Information About Joine Checking/Savings Accounts SSA-2574 MSSICS Screens.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information About Joint Checking/Savings Account--MSSICS Version	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1208 20 CFR 416.1201(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2574 (MSSICS Screens)	Information About Joine Checking/Savings Accounts	SSA-2574 MSSICS Screens.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	150,000	150,000
Annual IC Time Burden (Hours)	17,500	17,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.