Information Collection

General Request for Social Security Records--eFOIA

IC 9773 under ICR 201109-0960-004 · OMB 0960-0716.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0716 can be found here:

Documents and Forms

Document Name Document Type
General Request for Social Security Records--eFOIA Form
General Request for Social Security Records--eFOIA eFOIA screen shots.doc www.socialsecurity.gov/foia/html/foia_guide.htm Form
eFOIA screen shots.pdf Current eFOIA IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Request for Social Security Records--eFOIA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 402.130

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	General Request for Social Security Records--eFOIA	eFOIA screen shots.doc	http://www.socialsecurity.gov/foia/html/foia_guide.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current eFOIA	eFOIA screen shots.pdf	10/07/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.