Information Collection

iAppointment - Internet Application

IC 246420 under ICR 202103-0960-011 · OMB 0960-0822.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0822 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
iAppointment Screens.pdf www.socialsecurity.gov	Other-Internet Screens
iAppointment Screens.pdf www.socialsecurity.gov	Other-Internet Screens

IC Title:

iAppointment - Internet Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.630 20 CFR 416.345

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
Other-Internet Screens			iAppointment Screens.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,621

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	17,621	17,621
Annual IC Time Burden (Hours)	2,937	2,937
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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