Information Collection

i) 20 CFR 411.320 - SSA-1394, EN Contract Changes

IC 190204 under ICR 201705-0960-008 · OMB 0960-0644.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0644 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1394 Employment Network Contract Change Form i) 20 CFR 411.320 - SSA-1394, EN Contract Changes	Form and Instruction
SSA-1394 Employment Network Contract Change Form SSA-1394 - Revised Version.pdf	Form and Instruction
SSA-1394 - Current Version.pdf Current SSA-1394	IC Document

IC Title:

i) 20 CFR 411.320 - SSA-1394, EN Contract Changes

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 411.320

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-1394	Employment Network Contract Change Form	SSA-1394 - Revised Version.pdf		Yes	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

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	52	52
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-1394	SSA-1394 - Current Version.pdf	04/17/2012

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