Employer Verification of Records for Children Under Age 7

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0505 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-L3231 Employer Verification of Records for Children Under Age 7 Form
SSA-L3231 Employer Verification of Records for Children Under Age SSA-L3231-C1 (revised).pdf Form
SSA-L3231-C1 (current).pdf Current SSA-L3231-C1 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employer Verification of Records for Children Under Age 7	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.801-404.803 20 CFR 404.821-404.822

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-L3231	Employer Verification of Records for Children Under Age 7	SSA-L3231-C1 (revised).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,823	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11,823	-8,177	20,000
Annual IC Time Burden (Hours)	1,971	-1,362	3,333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-L3231-C1	SSA-L3231-C1 (current).pdf	02/13/2019

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