Information Collection

Ere

IC 180253 under ICR 201405-0960-004 · OMB 0960-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0753 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ERE Screen Shots - 2014.pdf www.ssa.gov/ere/index.html	Other-Sreen Shots
ERE Screen Shots - 2012.pdf Previous ERE Screen Shots	IC Document

IC Title:

ERE

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.1512 20 CFR 416.912

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
Other-Sreen Shots			ERE Screen Shots - 2014.pdf	http://www.ssa.gov/ere/index.html	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: 4,508,968

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,508,968	956,792	3,552,176
Annual IC Time Burden (Hours)	751,495	159,466	592,029
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Previous ERE Screen Shots	ERE Screen Shots - 2012.pdf	08/21/2014

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