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Federal forms, ICRs, and supporting documents

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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.

Documents and Forms
Document Name
Document Type
Form
Form
Other-Revised PA & PRA Statements
Other-Revised PA & PRA Statements
Form
Form
IC Document
IC Document
Information Collection (IC) Details

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Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801
 
No Modified
 
Voluntary
 
20 CFR 404.703 20 CFR 404.820 20 CFR 404.801

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-L725 Letter to Employer Requesting Information About Wages Earned by Beneficary SSA-L725 - Revised.pdf No   Fillable Printable
Other-Revised PA & PRA Statements Revised PA & PRA Statements.pdf No   Fillable Printable

Income Security General Retirement and Disability

 

170,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved 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 170,000 0 0 20,000 0 150,000
Annual IC Time Burden (Hours) 113,333 0 0 13,333 0 100,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-L725 - Current SSA-L725 - Current.pdf 02/11/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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