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General Request for Social Security Records--eFOIA
General Request for Social Security Records--eFOIA
OMB: 0960-0716
IC ID: 9773
OMB.report
SSA
OMB 0960-0716
ICR 201407-0960-008
IC 9773
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
General Request for Social Security Records--eFOIA
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
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
2,500
0
0
-2,500
0
5,000
Annual IC Time Burden (Hours)
292
0
0
42
0
250
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
