Data Exchange Request Form - Private Sector Respondents

Data Exchange Request Form

OMB: 0960-0802

IC ID: 215635

Information Collection (IC) Details

View Information Collection (IC)

Data Exchange Request Form - Private Sector Respondents
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-157 Data Exchange Request Form SSA-157 (revised).pdf Yes Yes Fillable Fileable Signable
Other-Revised Paperwork Reduction Act PRA 0802 (revised).docx Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

74 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 74 0 0 42 0 32
Annual IC Time Burden (Hours) 56 0 0 40 0 16
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-157 - Current SSA-157 (current).pdf 11/15/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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