Information Collection

Certification of Contents of Document(s) or Record(s)

IC 9743 under ICR 201002-0960-018 · OMB 0960-0689.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0689 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-704 Certification of Contents of Document(s) or Record(s)	Form
SSA-704 Certification of Contents of Document(s) or Record(s) Final SSA-704.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Certification of Contents of Document(s) or Record(s)

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 404.715 20 CFR 404.707 20 CFR 404.720-.721 20 CFR 408.202 20 CFR 404.723 20 CFR 404.725 20 CFR 404.727-.728 20 CFR 408.216 20 CFR 404.730-.733 20 CFR 404.735 20 CFR 404.1370-.1371

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-704	Certification of Contents of Document(s) or Record(s)	Final SSA-704.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,800	4,800
Annual IC Time Burden (Hours)	800	800
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.