SSA-8510 – Title II and Title XVI general evidence (Personal Information Authorization - Intranet Screens)

Authorization for the Social Security Administration to Obtain Personal Information

OMB: 0960-0801

IC ID: 216304

Documents and Forms
Document Name
Document Type
Other-Intranet Screens
Information Collection (IC) Details

View Information Collection (IC)

SSA-8510 – Title II and Title XVI general evidence (Personal Information Authorization - Intranet Screens)
 
No Modified
 
Voluntary
 
20 CFR 404.704 20 CFR 404.820 - 404.823 20 CFR 404.1926 20 CFR 404.1926 20 CFR 418.3001

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Intranet Screens Personal Information Authorization Page screen.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

 

140,145 0
   
Individuals or Households
 
   100 %

  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 140,145 0 0 0 0 140,145
Annual IC Time Burden (Hours) 11,679 0 0 0 0 11,679
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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