Information Collection

Request for Business Entity Taxpayer Information

IC 43719 under ICR 202105-0960-004 · OMB 0960-0731.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0731 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1694 Request for Business Entity Taxpayer Information	Form
Form SSA-1694 Request for Business Entity Taxpayer Information Request for Business Entity Taxpayer Information	Form
Privacy Act Statement 0731 (revised).docx	Other-Privacy Act Statement (revised
PRA Statement 0731 (revised).docx	Other-Paperwork Reduction Act Revise
SSA-1694 Request for Business Entity Taxpayer Information SSA-1694 (revised).pdf	Form
SSA-1694 (current).pdf Current SSA-1694	IC Document

IC Title:

Request for Business Entity Taxpayer Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1694	Request for Business Entity Taxpayer Information	SSA-1694 (revised).pdf	Yes	No	Fillable Printable
Other-Privacy Act Statement (revised)			Privacy Act Statement 0731 (revised).docx	No		Printable Only
Other-Paperwork Reduction Act Revised			PRA Statement 0731 (revised).docx	No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 366

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	366	-384	750
Annual IC Time Burden (Hours)	122	-3	125
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-1694	SSA-1694 (current).pdf	08/24/2021

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