Information Collection

IRES--Appointed Representatives (Internet)

IC 188690 under ICR 201009-0960-002 · OMB 0960-0626.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0626 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IRES Internet Screens (Appointed Representative).pdf www.ssa.gov/bso/bsowelcome.htm	Other-Internet Screens

IC Title:

IRES--Appointed Representatives (Internet)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.45

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
Other-Internet Screens			IRES Internet Screens (Appointed Representative).pdf	http://www.ssa.gov/bso/bsowelcome.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	-199,999	200,000
Annual IC Time Burden (Hours)	0	-16,667	16,667
Annual IC Cost Burden (Dollars)	0	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.