Information Collection

a.) 20 CFR 411.140(d)(3) Virtual Job Fair Registration - Employment Networks

IC 217178 under ICR 201809-0960-003 · OMB 0960-0644.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0644 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1370 Ticket to Work Virtural Job Fair Registration a.) 20 CFR 411.140(d)(3) Virtual Job Fair Registration - Employment Networks	Form and Instruction
SSA-1370 Ticket to Work Virtural Job Fair Registration Ticket to Work Virtual Job Fair Registration ENs Complete.pdf	Form and Instruction

IC Title:

a.) 20 CFR 411.140(d)(3) Virtual Job Fair Registration - Employment Networks

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 411.140(d)(3) 20 CFR 411.150(b)(3) 20 CFR 411.325(1)

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-1370	Ticket to Work Virtural Job Fair Registration	Ticket to Work Virtual Job Fair Registration ENs Complete.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-500	500
Annual IC Time Burden (Hours)	-83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.