Internet Requestors

SSA's Public Credentialing and Authentication Process

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0789 can be found here:

Documents and Forms

Document Name Document Type
Attachment A Internet Screens.pdf www.socialsecurity.gov Other-Internet Screens
Attachment E - Paperwork Reduction Act Language Link for Public Credentialing and Authentication.pdf www.socialsecurity.gov Other-PRA Statement
Revised Electronic Access and RCS Screens.pdf Other-Internet Screens
Revised Screens for TOS and APO-FPO Drop Down Boxes.pdf www.socialsecurity.gov Other-Internet Screens

Information Collection (IC) Details

IC Title:	Internet Requestors	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 401.45 42 CFR 402

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens	Attachment A Internet Screens.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-PRA Statement	Attachment E - Paperwork Reduction Act Language Link for Public Credentialing and Authentication.pdf	www.socialsecurity.gov	Yes	No	Printable Only
Other-Internet Screens	Revised Electronic Access and RCS Screens.pdf		Yes	Yes	Fillable Fileable Signable
Other-Internet Screens	Revised Screens for TOS and APO-FPO Drop Down Boxes.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,900,000	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	17,900,000	17,900,000
Annual IC Time Burden (Hours)	2,386,667	2,386,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.