Information Collection

Authorization to the Social Security Administration to Obtain Personal Information

IC 198351 under ICR 201106-0960-010 · OMB 0960-0066.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0066 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-9310 (revised).doc	Other-Follow-up Cover Letter
SSA-2935-OP1 Authorization to the Social Security Administration to O SSA-2935-OP1.pdf	Form

IC Title:

Authorization to the Social Security Administration to Obtain Personal Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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-Follow-up Cover Letter			SSA-9310 (revised).doc		No		Paper Only
Form	SSA-2935-OP1	Authorization to the Social Security Administration to Obtain Personal Information	SSA-2935-OP1.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: 500

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	125	125
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.