Electronic Records Express Third-Party Registration and Request Screens

Electronic Records Express Third-Party

OMB: 0960-0767

IC ID: 181427

Documents and Forms
Document Name
Document Type
Other-Screen Shots
Information Collection (IC) Details

View Information Collection (IC)

Electronic Records Express Third-Party Registration and Request Screens
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screen Shots ERE Screen Shots.pdf http://www.ssa.gov/representation/ Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

37,314 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 3,022,434 0 0 -299,313 0 3,321,747
Annual IC Time Burden (Hours) 50,374 0 0 -4,988 0 55,362
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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