Employee Identification Statement

Employee Identification Statement

OMB: 0960-0473

IC ID: 9364

Information Collection (IC) Details

View Information Collection (IC)

Employee Identification Statement
 
No Modified
 
Voluntary
 
20 CFR 404.702

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4156 Employee Identification Statement SSA-4156 - Revised.pdf No   Paper Only

Income Security General Retirement and Disability

 

4,750 0
   
Private Sector Farms, Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,750 0 0 0 0 4,750
Annual IC Time Burden (Hours) 792 0 0 0 0 792
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-4156 SSA-4156.pdf 11/19/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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