Supplemental Security Income Mobile Wage Reporting (SSIMWR)

Monthly SSI Wage Reporting

OMB: 0960-0715

IC ID: 203908

Documents and Forms
Document Name
Document Type
Other-Smart-Phone Application
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Supplemental Security Income Mobile Wage Reporting (SSIMWR)
 
No Modified
 
Voluntary
 
20 CFR 416.701-732

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Smart-Phone Application SSIMWR (revised screens).pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

5,000 0
   
Individuals or Households
 
   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 60,000 0 0 0 0 60,000
Annual IC Time Burden (Hours) 3,000 0 0 0 0 3,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSIMWR Screens (current) SSIMWR (current screens).pdf 09/29/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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