Information Collection Request

Consent-Based Social Security Number Verification Service (CBSV)

ICR 201510-0960-003 · OMB 0960-0760 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-89 Completing Form SSA-89 Form Modified Available
Form SSA-89 Storing Consent Forms Form Unchanged Repair queued
Non-substative change request 0960-0760.doc Justification for No Material/Nonsubstantive Change Uploaded 2015-10-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
198246 Dispute Resolution Other-User Agreement Dispute Resolution Unchanged
198245 Cancellation of Agreement Other-User Agreement Notice Cancellation Unchanged
198244 Reporting Changes in Users' Status Other-User Agreement Data Exchange Activities Unchanged
198243 Reporting Issues Encountered on Web Service Testing Other-User Agreement Data Exchange Activities Unchanged
198179 Web Service Transactions for ETE User Agreement for CBSV Other-User Agreement Data Exchange Activities Unchanged
198097 Registration User Agreement for External Testing Environment for CBSV Web Services Other-User Agreement Unchanged
181578 CPA Compliance Review and Report Other-See Attachment E in User Agreement Unchanged
181577 Responding to CPA Re-Contact Other-See Attachment E of the User Agreement Unchanged
181576 Completing Form SSA-89 Form Modified
181575 Compliance Review Activities Instruction Unchanged
181574 Storing Consent Forms Form Unchanged
181573 Using System to Upload Request Files, Check Status, Download Results Instruction Unchanged
181572 Creation of SSN Requests, Data Entry, Documentation Maintenance Etc. Instruction Unchanged
181571 Registration Process Other-Screen shots Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2017 03/31/2017 03/31/2017
2,500,000 0 1,768,294
194,862 0 161,024
6,216,300 0 6,216,300





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,500,000 1,768,294 0 731,706 0 0
Annual Time Burden (Hours) 194,862 161,024 0 33,838 0 0
Annual Cost Burden (Dollars) 6,216,300 6,216,300 0 0 0 0


Reginfo record details
  No