Information Collection Request

Consent-Based Social Security Number Verification Service (CBSV), 20 CFR 401.100

ICR 200708-0960-006 · OMB 0960-0760 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-89 Storing Consent Forms Form New Available
11-7-07 Revised Final CBSV User Guide.doc Supplementary Document Uploaded 2007-11-09 Available
11-07-07 Form SSA 89 Revised.doc Supplementary Document Uploaded 2007-11-09 Repair queued
11-7-07 Final CBSV User Agreement.doc Supplementary Document Uploaded 2007-11-09 Available
Response to OMB CLARIFICATION QUESTIONS FOR CBSV.doc Supplementary Document Uploaded 2007-11-09 Available
11-7-07 memo.pdf Supplementary Document Uploaded 2007-11-09 Available
8-15-07 CBSV Supporting Statement.doc Supporting Statement A Uploaded 2007-08-15 Available
CBSV Addendum C.doc Supplementary Document Uploaded 2007-08-10 Available
CBSV Addendum B.doc Supplementary Document Uploaded 2007-08-10 Available
CBSV Addendum A[1].doc Supplementary Document Uploaded 2007-08-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
181578 CPA Compliance Review and Report Other-See Attachment E in User Agreement New
181577 Responding to CPA Re-Contact Other-See Part E of the User Agreement New
181576 Completing Form SSA-89 New
181575 Compliance Review Activities Instruction New
181574 Storing Consent Forms Form New
181573 Using System to Upload Request Files, Check Status, Download Results Instruction New
181572 Creation of SSN Requests, Data Entry, Documentation Maintenance Etc. Instruction New
181571 Registration Process Other-See Section 2 of this User Guide New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2010 36 Months From Approved
10,095,040 0 0
577,407 0 0
21,897,000 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,095,040 0 0 10,095,040 0 0
Annual Time Burden (Hours) 577,407 0 0 577,407 0 0
Annual Cost Burden (Dollars) 21,897,000 0 0 21,897,000 0 0


Reginfo record details
  No