Data Exchange Request Form - Private Sector Respondents

Data Exchange Request Form

OMB: 0960-0802

IC ID: 215635

Information Collection (IC) Details

View Information Collection (IC)

Data Exchange Request Form - Private Sector Respondents
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-157 Data Exchange Request Form SSA-157.pdf Yes Yes Fillable Fileable Signable
Other-Internet Instructions Requesting An Electronic Data Exchange With SSA - Revised Language to Include Epidemiological Requests.pdf www,ssa.gov Yes Yes Printable Only
Other-Internet Instructions Epidemiology Research Request Website - Revised Language.pdf www,ssa.gov Yes Yes Printable Only

Income Security General Retirement and Disability

 

32 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 32 0 10 0 0 22
Annual IC Time Burden (Hours) 16 0 5 0 0 11
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PRA Statement for SSA-157 PRA Statement for SSA-157 (OMB No 0960-NEW).doc 03/10/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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