Information Collection

Internet Requestors

IC 197896 under ICR 201504-0960-005 · OMB 0960-0789.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0789 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA's Public Credentialing and Authentication Process Screens - 2014.pdf www.socialsecurity.gov	Other-Internet Screens
Attachment E - Paperwork Reduction Act Language Link for Public Credentialing and Authentication.pdf www.socialsecurity.gov	Other-PRA Statement
SSA's Public Credentialing and Authentication Process - Screens Showing Revisions.pdf www.socialsecurity.gov	Other-Internet Screens

IC Title:

Internet Requestors

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 402 42 CFR 401.45

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens	SSA's Public Credentialing and Authentication Process Screens - 2014.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-PRA Statement	Attachment E - Paperwork Reduction Act Language Link for Public Credentialing and Authentication.pdf	www.socialsecurity.gov	Yes	No	Printable Only
Other-Internet Screens	SSA's Public Credentialing and Authentication Process - Screens Showing Revisions.pdf	www.socialsecurity.gov	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: 38,251,877

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	Previously Approved
Annual Number of Responses for this IC	38,251,877	38,251,877
Annual IC Time Burden (Hours)	5,100,250	5,100,250
Annual IC Cost Burden (Dollars)	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.