Information Collection Request

Employer Verification of Records for Children Under Age 7

ICR 201512-0960-006 · OMB 0960-0505 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-L3231 Employer Verification of Records for Children Under Age 7 Form Modified Available
Addendum - 0505.doc Supplementary Document Uploaded 2016-02-23 Available
Supporting Statement - 0505.docx Supporting Statement A Uploaded 2016-03-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9406 Employer Verification of Records for Children Under Age 7 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2019 36 Months From Approved 05/31/2016
20,000 0 20,000
3,333 0 3,333
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Employer Verification of Records for Children Under Age 7 SSA-L3231 Employer Verification of Records for Children Under Age 7

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 20,000 20,000 0 0 0 0
Annual Time Burden (Hours) 3,333 3,333 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No