Information Collection

Employer Report of Special Wage Payments - #6 Only

IC 183800 under ICR 201609-0960-012 · OMB 0960-0565.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0565 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-131 Employer Report of Special Wage Payments Employer Report of Special Wage Payments - #6 Only	Form
Revised PA and PRA Statements for Form SSA-131 - 0960-0565.pdf	Other-Revised PA and PRA Statements
SSA-131 Employer Report of Special Wage Payments SSA-131 - Revised Version.pdf	Form
SSA-131 - Current Version.pdf Current SSA-131	IC Document

IC Title:

Employer Report of Special Wage Payments - #6 Only

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.428-404.429

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
Form	SSA-131				No		Paper Only
Other-Revised PA and PRA Statements					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,050

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,050	1,050
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-131		12/26/2016

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

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