Information Collection Request

Consent-Based Social Security Number Verification Service (CBSV)

ICR 201004-0960-010 · OMB 0960-0760 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-89 Authroiztion for the Social Security Administration to Release SSN Verification Form Modified Available
Form SSA-89 Authorization for SSA to Release SSN Verification Form Modified Available
Addendum.doc Supplementary Document Uploaded 2010-11-17 Available
Supporting Statement 0760 Final.doc Supporting Statement A Uploaded 2010-11-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
181578 CPA Compliance Review and Report Other-See Attachment E in User Agreement Modified
181577 Responding to CPA Re-Contact Other-See Part E of the User Agreement Modified
181576 Completing Form SSA-89 Form ModifiedAuthroiztion for the Social Security Administration to Release SSN Verification
181575 Compliance Review Activities Instruction Modified
181574 Storing Consent Forms Form ModifiedAuthorization for SSA to Release SSN Verification
181573 Using System to Upload Request Files, Check Status, Download Results Instruction Modified
181572 Creation of SSN Requests, Data Entry, Documentation Maintenance Etc. Instruction Modified
181571 Registration Process Other-Section 2 of User Guide Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2014 36 Months From Approved 03/31/2011
1,107,920 0 10,095,040
148,028 0 577,407
5,937,425 0 21,897,000





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
CPA Compliance Review and Report
Completing Form SSA-89 SSA-89
Compliance Review Activities
Creation of SSN Requests, Data Entry, Documentation Maintenance Etc.
Registration Process
Responding to CPA Re-Contact
Storing Consent Forms SSA-89
Using System to Upload Request Files, Check Status, Download Results

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,107,920 10,095,040 0 0 -8,987,120 0
Annual Time Burden (Hours) 148,028 577,407 0 0 -429,379 0
Annual Cost Burden (Dollars) 5,937,425 21,897,000 0 0 -15,959,575 0


Reginfo record details
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