Employer Report of Special Wage Payments--Full Form Including #6

Employer Report of Special Wage Payments

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0565 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-131 Employer Report of Special Wage Payments--Full Form Including #6 Form
SSA-131 Employer Report of Special Wage Payments SSA-131.pdf Form

Information Collection (IC) Details

IC Title:	Employer Report of Special Wage Payments--Full Form Including #6	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.428-404.429

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-131	Employer Report of Special Wage Payments	SSA-131.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: 1,050	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,050	750	300
Annual IC Time Burden (Hours)	385	275	110
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.