Internet (BBA 824)

Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0807 can be found here:

Documents and Forms

Document Name Document Type
Wage and Employment Information Authorization-Web screens.docx Other-BBA 824 Internet Screens

Information Collection (IC) Details

IC Title:	Internet (BBA 824)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-BBA 824 Internet Screens			Wage and Employment Information Authorization-Web screens.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 467,883	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	467,883	-459,621	927,504
Annual IC Time Burden (Hours)	15,596	-15,321	30,917
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.