Information Collection

Internet Requestors

IC 197896 under ICR 201603-0960-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

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-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 %

table that charts list of burden
	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

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.