Information Collection

Personal Interview (SSA Field Office)

IC 195110 under ICR 201011-0960-002 · OMB 0960-0784.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0784 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-44 Updated Intranet Screens.pdf	Other-Intranet Screens
SSA-44 Current Intranet Screens.pdf Current Intranet Screens	IC Document

IC Title:

Personal Interview (SSA Field Office)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 418.2205 20 CFR 418.2265 20 CFR 418.1265 20 CFR 418.1255 20 CFR 418.1205 20 CFR 418.2255

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-Intranet Screens			SSA-44 Updated Intranet Screens.pdf		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: 147,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	147,000	147,000
Annual IC Time Burden (Hours)	73,500	73,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current Intranet Screens	SSA-44 Current Intranet Screens.pdf	11/17/2010

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