Information Collection

SSS Change of Information, SSS Registration Status Form, SSS Acknowledgement and Correction/Change Form

IC 200699 under ICR 201201-3240-002 · OMB 3240-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3240-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSS Form 2, 3A, 3B SSS Change of Information, SSS Registration Status Form, SSS Acknowledgement and Correction/Change Form	Form and Instruction
SSS Form 2, 3A, 3B Change of Information, Registration Status, Acknowledgem SSS 2, 3A,3B,3C and Instructions.pdf	Form and Instruction

IC Title:

SSS Change of Information, SSS Registration Status Form, SSS Acknowledgement and Correction/Change Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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
Form and Instruction	SSS Form 2, 3A, 3B and 3C	Change of Information, Registration Status, Acknowledgement, Correction/Change	SSS 2, 3A,3B,3C and Instructions.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: SSS-4 Registrant Information Bank (RIB) Records

FR Citation: 76 FR 182

Number of Respondents: 250,588

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	250,588	250,588
Annual IC Time Burden (Hours)	8,345	8,345
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.