OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Application for Access to SSA

IC 198898 under ICR 202103-0960-004 · OMB 0960-0791.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Other-Privacy Act Statement
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Application for Access to SSA
 
No Removed
 
Mandatory
 
26 CFR 31.6011(b)2 20 CFR 401.45 26 CFR 31.6109-1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-120 Application For Access to SSA Systems SSA-120 - Revised.pdf No   Paper Only
Other-Privacy Act Statement SSA-120 - Revised Privacy Act Statement.docx No   Paper Only

Income Security General Retirement and Disability

 

685 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 0 0 -685 0 0 685
Annual IC Time Burden (Hours) 0 0 -23 0 0 23
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Applicaiton For Access to SSA Systems SSA-120 - Current.pdf 08/28/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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