Information Collection

Government to Government Services Online Website Account Modification/Deletion Form (SSA-160)

IC 180142 under ICR 201904-0960-012 · OMB 0960-0757.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0757 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-160 Government to Government Services Online Website Account Modification/Deletion Form Government to Government Services Online Website Account Modification/Deletion Form (SSA-160)	Form
GSO - Internet Screens.pdf	Other-GSO Screen Shots
Replacement Statement.pdf	Other-Replacement Statement
SSA-160 Government to Government Services Online Website Account SSA-160 - Revised.pdf	Form
SSA-160 - Current.pdf SSA-160 - Current	IC Document

IC Title:

Government to Government Services Online Website Account Modification/Deletion Form (SSA-160)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.45

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	SSA-160	Government to Government Services Online Website Account Modification/Deletion Form	SSA-160 - Revised.pdf		Yes	Yes	Fillable Printable
Other-GSO Screen Shots			GSO - Internet Screens.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Replacement Statement			Replacement Statement.pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 410

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
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	410	280	130
Annual IC Time Burden (Hours)	103	70	33
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-160 - Current	SSA-160 - Current.pdf	07/23/2019

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