Information Collection

Automated Telephone Requestors SSA-1099/1042S

IC 204526 under ICR 201210-0960-007 · OMB 0960-0583.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0583 can be found here:

Documents and Forms

Document Name Document Type
SSA_ATT_Care2020_N8NN UI Document (revised 7 5 12).pdf Other-Automated Telephone Requestor

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Automated Telephone Requestors SSA-1099/1042S	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 401.45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Automated Telephone Requestor Screens			SSA_ATT_Care2020_N8NN UI Document (revised 7 5 12).pdf		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: 190,413	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	190,413	190,413
Annual IC Time Burden (Hours)	6,347	6,347
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.