You Can Make Your Payment by Credit Card--Electronic Application

You Can Make Your Payment by Credit Card

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0462 can be found here:

Documents and Forms

Document Name Document Type
SSA-4588_Interview Screen_Shot PAS Revised.pdf Other-Internal Use Screens
SSA-4588_Screen_Shot[1].pdf SSA-4588 Screen Shot Interview Current Version IC Document

Information Collection (IC) Details

IC Title:	You Can Make Your Payment by Credit Card--Electronic Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internal Use Screens			SSA-4588_Interview Screen_Shot PAS Revised.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 221,316	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	221,316	221,316
Annual IC Time Burden (Hours)	18,443	18,443
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-4588 Screen Shot Interview Current Version	SSA-4588_Screen_Shot[1].pdf	10/07/2014

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