Information Collection

Missing and Discrepant Wage Reports Letter and Questionnaire

IC 9293 under ICR 200707-0960-006 · OMB 0960-0432.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0432 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-97-SM Missing and Discrepant Wage Reports Letter and Questionnaire	Form
SSA-L93-SM 1st Notice Letter Sample.pdf	Other-Cover Letter
SSA-L94-SM Followup Notice Letter Sample.pdf	Other-Cover Letter
SSA-95-SM Employer Questionnaire--SSA Has No Record of Employer Re SSA-95-SM Employer Questionnaire--SSA Has No Record of Employer Report.pdf	Form
SSA-97-SM Employer Questionnaire--Discrepancy Between IRS and SSA SSA-97-SM Employer Questionnaire--Discrepancy Between IRS and SSA Records Sample.pdf	Form

IC Title:

Missing and Discrepant Wage Reports Letter and Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 26 CFR 31.6051-2

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	SSA-97-SM	Employer Questionnaire--Discrepancy Between IRS and SSA Records	SSA-97-SM Employer Questionnaire--Discrepancy Between IRS and SSA Records Sample.pdf	No	Paper Only
Other-Cover Letter			SSA-L93-SM 1st Notice Letter Sample.pdf	No	Paper Only
Other-Cover Letter			SSA-L94-SM Followup Notice Letter Sample.pdf	No	Paper Only
Form	SSA-95-SM	Employer Questionnaire--SSA Has No Record of Employer Report	SSA-95-SM Employer Questionnaire--SSA Has No Record of Employer Report.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 360,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	360,000	1	359,999
Annual IC Time Burden (Hours)	180,000	0	180,000
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.