Information Collection

Request for Internet Services-Authentication; Automated Telephone Speech Technology-Authentication (Internet)

IC 43704 under ICR 201504-0960-004 · OMB 0960-0596.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0596 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attorney fees combo.pdf	Other-Internet Screens
RetirementEstimator ScreenPackage - English and Spanish.docx	Other-Retirement Estimator Screens
i1099 Screens.doc	Other-i1099 Screens
IMRC Screenshots.doc	Other-IMRC Sreens
Internet Change of Address.doc	Other-Internet Change of Address
Internet Registration for Appointed Reps Screens.doc	Other-Internet Registration for Appo
Intranet Registration of Appointed Reps Screens.doc	Other-Intranet Registration of Appoi
iSNO Screen Package.doc	Other-iSNO Screens
KBA Screen for iBEVE - Request for Proof of Income.doc	Other-KBA Screen for iBEVE- Request
ACUKBA-Production Screens - English.doc	Other-ACU Screen Design

IC Title:

Request for Internet Services-Authentication; Automated Telephone Speech Technology-Authentication (Internet)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 401.45

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens	Attorney fees combo.pdf	Yes	Yes	Fillable Fileable
Other-Retirement Estimator Screens	RetirementEstimator ScreenPackage - English and Spanish.docx	Yes	Yes	Fillable Fileable
Other-ACU Screen Design	ACUKBA-Production Screens - English.doc	Yes	Yes	Fillable Fileable Signable
Other-i1099 Screens	i1099 Screens.doc	Yes	Yes	Fillable Fileable
Other-IMRC Sreens	IMRC Screenshots.doc	Yes	Yes	Fillable Fileable
Other-Internet Change of Address	Internet Change of Address.doc	Yes	Yes	Fillable Fileable
Other-Internet Registration for Appointed Reps Screens	Internet Registration for Appointed Reps Screens.doc	Yes	Yes	Fillable Fileable
Other-Intranet Registration of Appointed Reps Screens	Intranet Registration of Appointed Reps Screens.doc	Yes	Yes	Fillable Fileable
Other-iSNO Screens	iSNO Screen Package.doc	Yes	Yes	Fillable Fileable
Other-KBA Screen for iBEVE- Request for Proof of Income	KBA Screen for iBEVE - Request for Proof of Income.doc	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,373,917

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	10,373,917	2,723,870	7,650,047
Annual IC Time Burden (Hours)	432,247	113,495	318,752
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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