Information Collection

SSA-L707 -- Private Sector

IC 181649 under ICR 200708-0960-009 · OMB 0960-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L707 SSA-L707 -- Private Sector	Form
SSA-L707 Request for Proof(s) from Custodian of Records SSA-L707 (2pages)_0707.doc	Form

IC Title:

SSA-L707 -- Private Sector

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 404.703 20 CFR 404.704 20 CFR 404.720 20 CFR 404.721 20 CFR 404.723 20 CFR 404.725 20 CFR 404.728

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-L707	Request for Proof(s) from Custodian of Records	SSA-L707 (2pages)_0707.doc		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 99

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

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	99	99
Annual IC Time Burden (Hours)	17	17
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.