Information Collection

General Request for Social Security Records--eFOIA

IC 9773 under ICR 200808-0960-004 · OMB 0960-0716.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0716 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
General Request for Social Security Records--eFOIA	Form
General Request for Social Security Records--eFOIA Revised eFOIA Screens.pdf www.socialsecurity.gov/foia/html/foia_guide.htm	Form

IC Title:

General Request for Social Security Records--eFOIA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 402.130

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	N/A	General Request for Social Security Records--eFOIA	Revised eFOIA Screens.pdf	http://www.socialsecurity.gov/foia/html/foia_guide.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	250	250
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.