Information Collection

Application for Access to SSA

IC 198898 under ICR 201204-0960-017 · 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⚠️ Notice: This information collection may be referencing outdated material.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	Form and Instruction
SSA-120 Application For Access to SSA Systems SSA-120 (revised).pdf	Form and Instruction
ssa120(current).pdf Applicaiton For Access to SSA Systems (SSA-120) current	IC Document

IC Title:

Application for Access to SSA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Application For Access to SSA Systems	SSA-120 (revised).pdf		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	Previously Approved
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
Applicaiton For Access to SSA Systems (SSA-120) current	ssa120(current).pdf	04/26/2012

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