Information Collection

General Request for Social Security Records--eFOIA

IC 9773 under ICR 201407-0960-008 · OMB 0960-0716.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
General Request for Social Security Records--eFOIA	Form
General Request for Social Security Records--eFOIA Updated eFOIA_ScreenShot (3).pdf www.socialsecurity.gov/foia/html/foia_guide.htm	Form
eFOIA screen shots.pdf Current eFOIA	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 402.130

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	N/A	General Request for Social Security Records--eFOIA	Updated eFOIA_ScreenShot (3).pdf	http://www.socialsecurity.gov/foia/html/foia_guide.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	2,500	-2,500	5,000
Annual IC Time Burden (Hours)	292	42	250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current eFOIA	eFOIA screen shots.pdf	10/07/2011

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