Information Collection

myWageReport

IC 226987 under ICR 201712-0960-002 · OMB 0960-0808.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0808 can be found here:

Documents and Forms

Document Name Document Type
0960-0808 BBA286 screens (revised).pdf Other-myWageReport Screens
0960-0808 BBA826 screens (current).pdf myWageReport Screens (current) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	myWageReport	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.1520(b) 20 CFR 404.1571-1576 20 CFR 404.1584-1593

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-myWageReport Screens			0960-0808 BBA286 screens (revised).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	54,000	54,000
Annual IC Time Burden (Hours)	6,300	6,300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
myWageReport Screens (current)	0960-0808 BBA826 screens (current).pdf	12/21/2017

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