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Employer Data Sheet
Employer Data Sheet
OMB: 3240-0031
IC ID: 35558
OMB.report
SSS
OMB 3240-0031
ICR 200807-3240-012
IC 35558
( )
Documents and Forms
Document Name
Document Type
Form SSS FORM 153
Employer Data Sheet
Form and Instruction
SSS FORM 153 Employer Data Sheet
SSS FORM 153.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Employer Data Sheet
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SSS FORM 153
Employer Data Sheet
SSS FORM 153.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1
0
0
0
0
1
Annual IC Time Burden (Hours)
1
0
0
0
0
1
Annual IC Cost Burden (Dollars)
0
0
0
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.