Information Collection

Data Exchange Request Form - Private Sector Respondents

IC 215635 under ICR 202107-0960-006 · OMB 0960-0802.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0802 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-157 Data Exchange Request Form - Private Sector Respondents	Form
Form SSA-157 Data Exchange Request Form Data Exchange Request Form - Private Sector Respondents	Form
PRA 0802 (revised).docx	Other-Revised Paperwork Reduction Ac
PRA 0802 (revised).docx	Other-Revised Paperwork Reduction Ac
SSA-157 Data Exchange Request Form SSA-157 (revised).pdf	Form
SSA-157 Data Exchange Request Form SSA-157 (revised).pdf	Form
SSA-157 (current).pdf SSA-157 - Current	IC Document
SSA-157 (current).pdf SSA-157 - Current	IC Document

IC Title:

Data Exchange Request Form - Private Sector Respondents

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-157				Yes	Yes	Fillable Fileable Signable
Other-Revised Paperwork Reduction Act					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: 74

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	74	42	32
Annual IC Time Burden (Hours)	592	576	16
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-157 - Current		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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