Information Collection Request

You Can Make Your Payment by Credit Card

ICR 202012-0960-014 · OMB 0960-0462 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-4588 You Can Make Your Payment By Credit Card Form and Instruction Modified Available
Form SSA-4588 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction Modified Repair queued
Form SSA-4589 Credit Card Remittance Form Modified Available
Form SSA-4589 You Can Make Your Payment by Credit Card--Electronic Application SSA-4589 Form Modified Available
Addendum - 0462 (Final).docx Supplementary Document Uploaded 2021-04-28 Available
Addendum - 0462 (Final).docx Supplementary Document Uploaded 2021-04-28 Repair queued
Supporting Statement - 0462 (Final).docx Supporting Statement A Uploaded 2021-05-06 Available
Supporting Statement - 0462 (Final).docx Supporting Statement A Uploaded 2021-05-06 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9349 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction ModifiedYou Can Make Your Payment By Credit Card
9349 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction Modified
9349 You Can Make Your Payment by Credit Card--SSA-4588 Other-Revised PA & PRA Statements Modified
187022 You Can Make Your Payment by Credit Card--Electronic Application SSA-4589 Form ModifiedCredit Card Remittance
187022 You Can Make Your Payment by Credit Card--Electronic Application SSA-4589 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2026 36 Months From Approved 11/30/2024
275,000 0 275,000
24,292 0 24,292
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
You Can Make Your Payment by Credit Card--Electronic Application SSA-4589 SSA-4589
You Can Make Your Payment by Credit Card--SSA-4588 SSA-4588

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 275,000 275,000 0 0 0 0
Annual Time Burden (Hours) 24,292 24,292 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No