Information Collection

Application for Access to SSA

IC 198898 under ICR 201108-0960-006 · OMB 0960-0791.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0791 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-120 Application For Access to SSA Systems Application for Access to SSA	Form and Instruction
SSA-120 Application For Access to SSA Systems SSA-120.pdf	Form and Instruction

IC Title:

Application for Access to SSA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 31.6011(b)2 26 CFR 31.6109-1 20 CFR 401.45

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
Form and Instruction	SSA-120				No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,313

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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	4,313	4,313
Annual IC Time Burden (Hours)	144	144
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.

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