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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
iAppointment Screens.pdf www.socialsecurity.gov Other-Internet Screens
iAppointment Screens.pdf www.socialsecurity.gov Other-Internet Screens

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.