Information Collection

Authorization to the Social Security Administration to Obtain Personal Information

IC 198350 under ICR 201407-0960-007 · OMB 0960-0066.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0066 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-2935-OP1 Authorization to the Social Security Administration to Obtain Personal Information	Form and Instruction
SSA-L2938 - Revised Version.pdf	Other-Cover Letter
SSA-2935-OP1 Authorization to SSA to Obtain Personal Information SSA-2935-OP1 - Revised Version.pdf	Form and Instruction
SSA-L2938 -Current Version.pdf Current SSA-L2938	IC Document
SSA-2935-OP1 - Current Version.pdf Current SSA-2935-OP1	IC Document

IC Title:

Authorization to the Social Security Administration to Obtain Personal Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Form and Instruction	SSA-2935-OP1	Authorization to SSA to Obtain Personal Information	SSA-2935-OP1 - Revised Version.pdf		No		Paper Only
Other-Cover Letter			SSA-L2938 - Revised Version.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-L2938	SSA-L2938 -Current Version.pdf	12/08/2011
Current SSA-2935-OP1	SSA-2935-OP1 - Current Version.pdf	12/09/2011

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