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Federal forms, ICRs, and supporting documents

Information Collection

Data Exchange Request Form - State and Local Governments

IC 215703 under ICR 202107-0960-006 · OMB 0960-0802.

Documents and Forms
Document Name
Document Type
Form
Form
Other-Revised Paperwork Reduction Ac
Other-Revised Paperwork Reduction Ac
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Data Exchange Request Form - State and Local Governments
 
No Modified
 
Voluntary
 

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

 

139 0
   
State, Local, and Tribal Governments
 
   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 139 0 0 25 0 114
Annual IC Time Burden (Hours) 1,112 0 0 1,055 0 57
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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