Information Collection

Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801

IC 8933 under ICR 201011-0960-004 · OMB 0960-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0034 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L725 Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801	Form
SSA-L725 Letter to Employer Requesting Information About Wages Ea Form SSA-L725 revised.pdf	Form

IC Title:

Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.703 20 CFR 404.801

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-L725	Letter to Employer Requesting Information About Wages Earned by Beneficary	Form SSA-L725 revised.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150,000	150,000
Annual IC Time Burden (Hours)	100,000	100,000
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.