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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.