OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

eCBSV Applicants – SSA-157 with Certification Statement

IC 235841 under ICR 202107-0960-006 · OMB 0960-0802.

Documents and Forms
Document Name
Document Type
Form
Form
Instruction
Instruction
Other-eCBSV Initial Rollout MOU
Other-eCBSV Initial Rollout MOU
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

eCBSV Applicants – SSA-157 with Certification Statement
 
No Removed
 
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 - Current.pdf Yes Yes Fillable Fileable Signable
Instruction eCBSV Instructional Example SSA-157.pdf Yes Yes Fillable Fileable Signable
Other-eCBSV Initial Rollout MOU eCBSV 50 Percent RA MOU - FINAL.pdf No   Paper Only

Income Security General Retirement and Disability

 

200 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 0 0 -200 0 0 200
Annual IC Time Burden (Hours) 0 0 -107 0 0 107
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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