Information Collection

Ssa-l8553-u3

IC 183772 under ICR 201011-0960-005 · OMB 0960-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0189 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-L8553-U3--Phone Appointment UD (revised).pdf	Other-Notice
SSA-L8553-U3--Phone Appointment UD.pdf Revised SSA-L8553-U3 - Used only for Transaction Accuracy Review FY2011(current)	IC Document

IC Title:

SSA-L8553-U3

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-Notice			SSA-L8553-U3--Phone Appointment UD (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: 4,490

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,490	2,000	2,490
Annual IC Time Burden (Hours)	374	166	208
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Revised SSA-L8553-U3 - Used only for Transaction Accuracy Review FY2011(current)	SSA-L8553-U3--Phone Appointment UD.pdf	03/17/2011

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