Information Collection Request

You Can Make Your Payment by Credit Card

ICR 201710-0960-003 · OMB 0960-0462 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-4588 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction Modified Available
0462 Addendum.doc Supplementary Document Uploaded 2018-01-24 Available
Support Statement - 0462.docx Supporting Statement A Uploaded 2018-01-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9349 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction Modified
187022 You Can Make Your Payment by Credit Card--Electronic Application SSA-4589 Other-Internal Use Screens Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2021 36 Months From Approved 05/31/2018
275,000 0 234,516
24,292 0 20,643
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
You Can Make Your Payment by Credit Card--Electronic Application SSA-4589
You Can Make Your Payment by Credit Card--SSA-4588 SSA-4588 You Can Make Your Payment By Credit Card

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 275,000 234,516 0 0 40,484 0
Annual Time Burden (Hours) 24,292 20,643 0 0 3,649 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No