OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Connect Direct Transmission of MER Information (subset of "MER Samples" category)

IC 179021 under ICR 201103-0960-011 · OMB 0960-0555.

Documents and Forms
Document Name
Document Type
Other-Sample MER Information (same a
Information Collection (IC) Details

View Information Collection (IC)

Connect Direct Transmission of MER Information (subset of "MER Samples" category)
 
No Removed
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1024 20 CFR 404.1519 20 CFR 404.1613 20 CFR 404.1614 20 CFR 404.1624 20 CFR 416.903a 20 CFR 416.912 20 CFR 416.913 20 CFR 416.914 20 CFR 416.917 20 CFR 416.919 20 CFR 416.1013 20 CFR 416.1014 20 CFR 404.1503a 20 CFR 404.1513 20 CFR 404.1514 20 CFR 404.1512 20 CFR 404.1517

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Sample MER Information (same as previous IC, submitted through electronic Connect Direct system) 0960-0555 sample MER forms.pdf Not through SSA website; sent directly Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

218,400 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 0 0 -218,400 0 0 218,400
Annual IC Time Burden (Hours) 0 0 -54,600 0 0 54,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.