eCBSV Enrollment Process

Electronic Consent Based Social Security Number Verification

OMB: 0960-0817

IC ID: 240655

Information Collection (IC) Details

View Information Collection (IC)

eCBSV Enrollment Process
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 401.100

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction eCBSV User Agreement eCBSV User Agreement eCBSV User Agreement (6-7-21) - Clean Copy.docx Yes Yes Fillable Fileable Signable
Other-Internet Screens eCBSV Screen Package.docx www.ssa.gov Yes Yes Fillable Fileable Signable
Other-eCBSV Website Content eCBSV FRN Webpage Language (02-01-2021).docx www.ssa.gov Yes No Printable Only

Income Security General Retirement and Disability

 

113 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 113 0 0 103 0 10
Annual IC Time Burden (Hours) 226 0 0 206 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current User Agreement eCBSV User Agreement - Current.pdf 03/26/2021
eCBSV Revised User Agreement - Track Changes eCBSV User Agreement (6-7-21) - Track Changes.docx 06/08/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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