Information Collection

Data Exchange Request Form SSA-157

IC 215703 under ICR 201503-0960-007 · OMB 0960-0802.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0802 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-157 Data Exchange Request Form SSA-157	Form
SSA-157 Data Exchange Request Form SSA-157.pdf	Form
PRA Statement for SSA-157 (OMB No 0960-NEW).doc PRA for SSA-157	IC Document

IC Title:

Data Exchange Request Form SSA-157

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	SSA-157	Data Exchange Request Form	SSA-157.pdf		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: 99

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	99	99
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PRA for SSA-157	PRA Statement for SSA-157 (OMB No 0960-NEW).doc	03/17/2015

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