Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801

Letter to Employer Requesting Information About Wages Earned by Beneficiary

OMB: 0960-0034

IC ID: 8933

Information Collection (IC) Details

View Information Collection (IC)

Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801
 
No Modified
 
Voluntary
 
20 CFR 404.801 20 CFR 404.703 20 CFR 404.820

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-L725 Letter to Employer Requesting Information About Wages Earned by Beneficary SSA-L725-F3 - Revised.pdf No   Paper Only
Other-Revised PA Statement Revised PA Statement.pdf No   Paper Only

Income Security General Retirement and Disability

 

150,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 150,000 0 0 0 0 150,000
Annual IC Time Burden (Hours) 100,000 0 0 0 0 100,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-L725 SSA-L725-F3 - Current.pdf 11/07/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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