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Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits

IC 194025 under ICR 201101-1545-017 · OMB 1545-2187.

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Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 8955-SSA Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits Form 8955-SSA_DRAFT.pdf Yes Yes Fillable Fileable
Instruction 09i8955SSAdrxml-crop26OMB.pdf Yes No Printable Only

General Government Taxation Management

 

200,000 0
   
Private Sector Businesses or other for-profits
 
   50 %

  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 200,000 0 0 0 0 200,000
Annual IC Time Burden (Hours) 166,000 0 0 0 0 166,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2011 Burden for Form 8955-SSA 8955_SSA_02_07_2011_brdn_spec.pdf 02/07/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.