Information Collection

Government to Government Services Online Website Account Modification/Deletion Form SSA-160

IC 180142 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⚠️ Notice: This information collection may be referencing outdated material.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
GSO_Reg_Form_GUIDELINES[1].doc	Instruction
GSO - Internet Screens (Revised Version).pdf	Other-GSO Screen Shots
Replacement Statement (replacing the current Privacy Act Statement).pdf	Other-Replacement Statement (replaci
SSA-160 Government to Government Services Online Website Account SSA-160 - Revised Version.pdf	Form
SSA-160 - Current Version.pdf Current SSA-160	IC Document

IC Title:

Government to Government Services Online Website Account Modification/Deletion Form SSA-160

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			GSO_Reg_Form_GUIDELINES[1].doc		No		Paper Only
Form	SSA-160	Government to Government Services Online Website Account Modification/Deletion Form	SSA-160 - Revised Version.pdf		Yes	Yes	Fillable Printable
Other-GSO Screen Shots			GSO - Internet Screens (Revised Version).pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Replacement Statement (replacing current Privacy Act)			Replacement Statement (replacing the current Privacy Act Statement).pdf		No		Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	130	-2,370	2,500
Annual IC Time Burden (Hours)	33	-592	625
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-160	SSA-160 - Current Version.pdf	08/12/2016

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