Information Collection

Government to Government Services Online Website Registration (SSA-159)

IC 180139 under ICR 201604-0960-007 · OMB 0960-0757.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0757 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-159 Government to Government Services Online Website Registration Form SSA-159 Government to Government Services Online Website Registration (SSA-159)	Form
GSO_New_Reg_Form_GUIDELINES_12-2008_(4)[1].doc	Instruction
Replacement Statement (replacing the current Privacy Act Statement).pdf	Other-Replacement Statement (to repl
SSA-159 Government to Government Services Online Website Registr SSA-159 revised version.pdf	Form
SSA-159 - Current Version.pdf SSA-159 Current Version	IC Document

IC Title:

Government to Government Services Online Website Registration (SSA-159)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.45

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Instruction		No	Paper Only
Form	SSA-159	No	Fillable Printable
Other-Replacement Statement (to replace current Privacy Act)		No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,543

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,543	618	925
Annual IC Time Burden (Hours)	386	155	231
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-159 Current Version		08/12/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].