Ssa-l9785

Annual Earnings Test Direct Mail Follow-up Program Notices

OMB: 0960-0369

IC ID: 195825

Information Collection (IC) Details

View Information Collection (IC)

SSA-L9785
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.452-404.455

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-L9785 Retirement, Survivors and Disability Insurance: Earnings Estimate Form SSA-L9785 (12-2013)(revised).pdf No   Paper Only

Income Security General Retirement and Disability

 

15,870 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15,870 0 0 0 0 15,870
Annual IC Time Burden (Hours) 2,645 0 0 0 0 2,645
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current Version of the SSA-L9785 2013 ENGLISH 9785.pdf 01/06/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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