Information Collection

2019 235 Security Administration

IC 237523 under ICR 201805-1090-003 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 235 2019 235 Security Administration	Form and Instruction
235 2019 235 Q_SSABSO_Web_AccountManagement_2019_8_19 2019 235 Q_SSABSO_Web_AccountManagement_2019_8_19.xlsx	Form and Instruction
235 2019 235 Q_SSADisability_Web_AccountManagement_2019_8_19 2019 235 Q_SSADisability_Web_AccountManagement_2019_8_19.xlsx	Form and Instruction
235 2019 235 Q_SSAExtraHelp_Web_AccountManagement_2019_8_19 2019 235 Q_SSAExtraHelp_Web_AccountManagement_2019_8_19.xlsx	Form and Instruction
235 2019 235 Q_SSAiAppeals_Web_AccountManagement_2019_8_19 2019 235 Q_SSAiAppeals_Web_AccountManagement_2019_8_19.xlsx	Form and Instruction
235 2019 235 Q_SSAiClaim_Web_AccountManagement_2019_8_19 2019 235 Q_SSAiClaim_Web_AccountManagement_2019_8_19.xlsx	Form and Instruction
235 2019 235 Q_SSA-mySSA_Web_AccountManagement_08_19_2019 (1 2019 235 Q_SSA-mySSA_Web_AccountManagement_08_19_2019 (1).xlsx	Form and Instruction
235 2019 235 Q_SSARetirementEstimator_Web_AccountManagement_ 2019 235 Q_SSARetirementEstimator_Web_AccountManagement_2019_8_19.xlsx	Form and Instruction
ALL SSA OMB Docs.pdf ALL SSA OMB Docs	IC Document
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Extra Help.xlsx 1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Extra Help	IC Document
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 iClaim.xlsx 1090-0008 Survey Mapping Document (SSA) IA 30688 A4 iClaim	IC Document
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 BSO.xlsx 1090-0008 Survey Mapping Document (SSA) IA 30688 A4 BSO	IC Document
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Disability.xlsx 1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Disability	IC Document
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 iAppeals.xlsx 1090-0008 Survey Mapping Document (SSA) IA 30688 A4 iAppeals	IC Document
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 MySSA.xlsx 1090-0008 Survey Mapping Document (SSA) IA 30688 A4 MySSA	IC Document
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Retirement Estimator.xlsx 1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Retirement Estimator	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2019 235 Security Administration

Agency IC Tracking Number:

235

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	235	2019 235 Q_SSADisability_Web_AccountManagement_2019_8_19	2019 235 Q_SSADisability_Web_AccountManagement_2019_8_19.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	235	2019 235 Q_SSABSO_Web_AccountManagement_2019_8_19	2019 235 Q_SSABSO_Web_AccountManagement_2019_8_19.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	235	2019 235 Q_SSAExtraHelp_Web_AccountManagement_2019_8_19	2019 235 Q_SSAExtraHelp_Web_AccountManagement_2019_8_19.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	235	2019 235 Q_SSAiAppeals_Web_AccountManagement_2019_8_19	2019 235 Q_SSAiAppeals_Web_AccountManagement_2019_8_19.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	235	2019 235 Q_SSAiClaim_Web_AccountManagement_2019_8_19	2019 235 Q_SSAiClaim_Web_AccountManagement_2019_8_19.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	235	2019 235 Q_SSA-mySSA_Web_AccountManagement_08_19_2019 (1)	2019 235 Q_SSA-mySSA_Web_AccountManagement_08_19_2019 (1).xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	235	2019 235 Q_SSARetirementEstimator_Web_AccountManagement_2019_8_19	2019 235 Q_SSARetirementEstimator_Web_AccountManagement_2019_8_19.xlsx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ALL SSA OMB Docs	ALL SSA OMB Docs.pdf	08/22/2019
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Extra Help	1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Extra Help.xlsx	08/22/2019
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 iClaim	1090-0008 Survey Mapping Document (SSA) IA 30688 A4 iClaim.xlsx	08/22/2019
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 BSO	1090-0008 Survey Mapping Document (SSA) IA 30688 A4 BSO.xlsx	08/22/2019
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Disability	1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Disability.xlsx	08/22/2019
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 iAppeals	1090-0008 Survey Mapping Document (SSA) IA 30688 A4 iAppeals.xlsx	08/22/2019
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 MySSA	1090-0008 Survey Mapping Document (SSA) IA 30688 A4 MySSA.xlsx	08/22/2019
1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Retirement Estimator	1090-0008 Survey Mapping Document (SSA) IA 30688 A4 Retirement Estimator.xlsx	08/22/2019

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