d. Consent of Release of Records - 20 CFR 401.100(a)&(b) - SSA-3288

Privacy and Disclosure of Official Records and Information; Availability of Information and Records to the Public

OMB: 0960-0566

IC ID: 45121

Information Collection (IC) Details

View Information Collection (IC)

d. Consent of Release of Records - 20 CFR 401.100(a)&(b) - SSA-3288
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 401.100(a) & (b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-3288 Consent for Release of Information SSA-3288 - Revised Version.pdf No   Fillable Printable

Income Security General Retirement and Disability

 

3,000,760 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000,760 0 760 0 0 3,000,000
Annual IC Time Burden (Hours) 150,038 0 38 0 0 150,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-3288 SSA-3288 - Current Version.pdf 10/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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