Internet Requestors

SSA's Public Credentialing and Authentication Process

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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
eAccess Enhancements - Revised Screen Package.pdf www.socialsecurity.gov Other-Revised Internet Screens
Chart of Screen Changes for MFA July 2016.doc Other-Chart Detailing Current Revisi
Final MFA Public Screen Package_by Scenario.docx Other-Screen Shots by Scenario

Information Collection (IC) Details

IC Title:	Internet Requestors	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 401.45 42 CFR 402

Information Collection 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-Revised Internet Screens	eAccess Enhancements - Revised Screen Package.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Chart Detailing Current Revisions	Chart of Screen Changes for MFA July 2016.doc		No		Printable Only
Other-Screen Shots by Scenario	Final MFA Public Screen Package_by Scenario.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 34,862,391	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	34,862,391	-3,389,486	38,251,877
Annual IC Time Burden (Hours)	4,648,319	-451,931	5,100,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.