Ssa-l8553-u3

Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0189 can be found here:

Documents and Forms

Document Name Document Type
SSA-L8553-U3 Revised Bene Phone Contact.docx Other-Notice
SSA-L8553-U3-Current Version.pdf Revised SSA-L8553-U3 - Used only for Transaction Accuracy Review FY2011(current) IC Document

Information Collection (IC) Details

IC Title:	SSA-L8553-U3	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Notice			SSA-L8553-U3 Revised Bene Phone Contact.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,490	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,490	4,490
Annual IC Time Burden (Hours)	374	374
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Revised SSA-L8553-U3 - Used only for Transaction Accuracy Review FY2011(current)	SSA-L8553-U3-Current Version.pdf	10/26/2011

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