Information Collection

f) 20 CFR 411.575 - Portal Screens (SSA-1391 et al)

IC 201842 under ICR 201408-0960-012 · OMB 0960-0644.

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Information Collection (IC) Details

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IC Title:	f) 20 CFR 411.575 - Portal Screens (SSA-1391 et al)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 411.575

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,440	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	22,440	22,440
Annual IC Time Burden (Hours)	8,228	8,228
Annual IC Cost Burden (Dollars)	0	0

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