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Federal forms, ICRs, and supporting documents

Information Collection

You Can Make Your Payment by Credit Card--Electronic Application SSA-4589

IC 187022 under ICR 202012-0960-014 · OMB 0960-0462.

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Form
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Information Collection (IC) Details

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You Can Make Your Payment by Credit Card--Electronic Application SSA-4589
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4589 Credit Card Remittance SSA-4589 (Interview Screens) - Revised.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

258,500 0
   
Individuals or Households
 
   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 258,500 0 0 0 0 258,500
Annual IC Time Burden (Hours) 21,542 0 0 0 0 21,542
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-4589 (Interview Screens) - Current SSA-4589 (Interview Screens) - Current.pdf 04/28/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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