Authorization to Disclose Information to the Social Security Administration (Internet Instructions)

Authorization to Disclose Information to the Social Security Administration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0623 can be found here:

Documents and Forms

Document Name Document Type
Online Instructions for the SSA-827.pdf Instruction
PRA--Internet Instructions.pdf PRA Statement for the Internet Instructions (see also the attachment for the Internet Instructions above) IC Document

Information Collection (IC) Details

IC Title:	Authorization to Disclose Information to the Social Security Administration (Internet Instructions)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 416.912 20 CFR 404.1512

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Online Instructions for the SSA-827.pdf		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 586,232	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	586,232	586,232
Annual IC Time Burden (Hours)	29,312	29,312
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PRA Statement for the Internet Instructions (see also the attachment for the Internet Instructions above)	PRA--Internet Instructions.pdf	02/25/2008

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