Information Collection

Electronic Records Express Third-Party Registration Form

IC 181427 under ICR 200708-0960-003 · OMB 0960-0767.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0767 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Electronic Records Express Third-Party Registration Form	Form and Instruction
Electronic Records Express Third-Party Registration Form ERE 3rd-party registration form.pdf	Form and Instruction
Third-Party ERE sample screen shots.doc ERE Third-Party Submission Screen Shots	IC Document

IC Title:

Electronic Records Express Third-Party Registration Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	None	Electronic Records Express Third-Party Registration Form	ERE 3rd-party registration form.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: 78,344

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	78,344	78,344
Annual IC Time Burden (Hours)	3,917	3,917
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ERE Third-Party Submission Screen Shots	Third-Party ERE sample screen shots.doc	09/21/2007

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