Information Collection

Supplemental Security Income Mobile Wage Reporting (SSIMWR)

IC 203908 under ICR 201904-0960-006 · OMB 0960-0715.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0715 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSIMWR Training Package - FY 19 - Revised.pdf	Other-Mobile Wage Reporting
SSIMWR Training Package - FY 19 - Current.pdf SSIMWR Training Package - Current	IC Document

IC Title:

Supplemental Security Income Mobile Wage Reporting (SSIMWR)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 416.701-732

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
Other-Mobile Wage Reporting			SSIMWR Training Package - FY 19 - 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: 77,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	924,000	887,004	36,996
Annual IC Time Burden (Hours)	46,200	44,350	1,850
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSIMWR Training Package - Current	SSIMWR Training Package - FY 19 - Current.pdf	06/12/2019

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