Information Collection

Employer Verification of Records for Children Under Age Seven

IC 9406 under ICR 200912-0960-007 · OMB 0960-0505.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0505 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L3231-C1 Employer Verification of Records for Children Under Age Seven	Form
SSA-L3231-C1 Employer Verification of Records for Children Under Age Revised SSA-L3231-C1.pdf	Form
Current SSA-L3231-C1.pdf Current SSA-L3231-C1	IC Document

IC Title:

Employer Verification of Records for Children Under Age Seven

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.821-404.822 20 CFR 404.801-404.803

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-L3231-C1	Employer Verification of Records for Children Under Age Seven	Revised SSA-L3231-C1.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: 20,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	3,333	3,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-L3231-C1	Current SSA-L3231-C1.pdf	12/30/2009

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