Information Collection

Authorization to Obtain Earnings Data from the Social Security Administration

IC 9588 under ICR 201701-0960-010 · OMB 0960-0602.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0602 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-581 Authorization to Obtain Earnings Data from the Social Security Administration	Form and Instruction
Revised PA Statement.pdf	Other-Revised PA Statement
SSA-581 Authorization to Obtain Earnings Data from the Social Se SSA-581 - Revised.pdf	Form and Instruction
SSA-581 - Current.pdf Current SSA-581	IC Document

IC Title:

Authorization to Obtain Earnings Data from the Social Security Administration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	SSA-581	Authorization to Obtain Earnings Data from the Social Security Administration	SSA-581 - Revised.pdf		No		Fillable Printable
Other-Revised PA Statement			Revised PA Statement.pdf		No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, 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	24,000	24,000
Annual IC Time Burden (Hours)	800	800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-581	SSA-581 - Current.pdf	03/07/2017

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