Information Collection

Ere

IC 180253 under ICR 201703-0960-004 · OMB 0960-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0753 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ERE Screen Shot Package - Revised.pdf www.ssa.gov/ere/index.html	Other-Sreen Shots
ERE Screen Shot Package - Current.pdf ERE Screen Shots - Current	IC Document

IC Title:

ERE

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 416.912 20 CFR 404.1512

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
Other-Sreen Shots			ERE Screen Shot Package - Revised.pdf	http://www.ssa.gov/ere/index.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,376,998

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	5,376,998	868,030	4,508,968
Annual IC Time Burden (Hours)	896,166	144,671	751,495
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ERE Screen Shots - Current	ERE Screen Shot Package - Current.pdf	05/03/2017

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