Information Collection

Internet Requestors

IC 197896 under ICR 201105-0960-011 · OMB 0960-0789.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0789 can be found here:

Documents and Forms

Document Name Document Type
Attachment A Internet Screens.pdf www.socialsecurity.gov Other-Internet Screens
Attachment E - Paperwork Reduction Act Language Link for Public Credentialing and Authentication.pdf www.socialsecurity.gov Other-PRA Statement

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Internet Requestors	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 402 42 CFR 401.45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			Attachment A Internet Screens.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-PRA Statement			Attachment E - Paperwork Reduction Act Language Link for Public Credentialing and Authentication.pdf	www.socialsecurity.gov	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,900,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,900,000	17,900,000
Annual IC Time Burden (Hours)	2,386,667	2,386,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.