Information Collection

Internet Requestors

IC 197896 under ICR 201308-0960-006 · OMB 0960-0789.

⚠️ Notice: This information collection may be referencing outdated material.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
Current Electronic Access and RCS Screens.pdf Other-Internet Screens
Current Screens for TOS and APO-FPO Drop Down Boxes.pdf www.socialsecurity.gov Other-Internet Screens
Internet TOS Screens - Revised.pdf www.socialsecurity.gov Other-Internet Screens
Internet Help Screen - Revised.pdf www.socialsecurity.gov Other-Internet Screen
Internet Error Screens - Revised.pdf www.socialsecurity.gov Other-Internet Screens
REVISED Screens.doc Other-mySocialSecurity Terms of Serv
Current Screens.doc mySocialSecurity Terms of Service (TOS) screens (current) IC Document

Information Collection (IC) Details

View Information Collection (IC)

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	Current Electronic Access and RCS Screens.pdf		Yes	Yes	Fillable Fileable Signable
Other-Internet Screens	Current Screens for TOS and APO-FPO Drop Down Boxes.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens	Internet TOS Screens - Revised.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screen	Internet Help Screen - Revised.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens	Internet Error Screens - Revised.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-mySocialSecurity Terms of Service (TOS) screens (revised)	REVISED Screens.doc		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: 21,058,823	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	21,058,823	3,158,823	17,900,000
Annual IC Time Burden (Hours)	2,807,843	421,176	2,386,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
mySocialSecurity Terms of Service (TOS) screens (current)	Current Screens.doc	03/13/2013

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