Information Collection

You Can Make Your Payment by Credit Card--SSA-4588

IC 9349 under ICR 201710-0960-003 · OMB 0960-0462.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0462 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-4588 You Can Make Your Payment by Credit Card--SSA-4588	Form and Instruction
0462 updated privacy act statement.doc	Other-Revised Privacy Act Statement
SSA-4588 You Can Make Your Payment By Credit Card SSA-4588 (revised).pdf	Form and Instruction
SSA-4588 current version.pdf SSA-4588 Current Version	IC Document

IC Title:

You Can Make Your Payment by Credit Card--SSA-4588

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-4588	You Can Make Your Payment By Credit Card	SSA-4588 (revised).pdf		No		Paper Only
Other-Revised Privacy Act Statement			0462 updated privacy act statement.doc		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	16,500	3,300	13,200
Annual IC Time Burden (Hours)	2,750	550	2,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-4588 Current Version	SSA-4588 current version.pdf	11/08/2017

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