Information Collection

Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801

IC 8933 under ICR 202012-0960-010 · OMB 0960-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0034 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L725 Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801	Form
Form SSA-L725 Letter to Employer Requesting Information About Wages Earned by Beneficary Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801	Form
Revised PA & PRA Statements.pdf	Other-Revised PA & PRA Statements
Revised PA & PRA Statements.pdf	Other-Revised PA & PRA Statements
SSA-L725 Letter to Employer Requesting Information About Wages Ea SSA-L725 - Revised.pdf	Form
SSA-L725 Letter to Employer Requesting Information About Wages Ea SSA-L725 - Revised.pdf	Form
SSA-L725 - Current.pdf SSA-L725 - Current	IC Document
SSA-L725 - Current.pdf SSA-L725 - Current	IC Document

IC Title:

Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.703 20 CFR 404.820 20 CFR 404.801

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-L725				No		Fillable Printable
Other-Revised PA & PRA Statements					No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 170,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	170,000	20,000	150,000
Annual IC Time Burden (Hours)	113,333	13,333	100,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-L725 - Current		02/11/2021

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].