Information Collection

Social Security Statement

IC 250582 under ICR 202111-0960-011 · OMB 0960-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Document Name Document Type
FY 2022 mySocial Security OVS BEVE Questionnaire.docx Other-Social Security OVS BVE Questi
FY 2022 mySocial Security OVS BEVE Questionnaire.docx Other-Social Security OVS BVE Questi
FY 2022 mySocial Security OVS SSC Questionnaire.docx Other-Social Security Statement Surv
FY 2022 mySocial Security OVS SSC Questionnaire.docx Other-Social Security Statement Surv

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Social Security Statement	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Social Security OVS BVE Questionnaire			FY 2022 mySocial Security OVS BEVE Questionnaire.docx		No		Paper Only
Other-Social Security Statement Survey			FY 2022 mySocial Security OVS SSC Questionnaire.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: 36,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36,000	36,000
Annual IC Time Burden (Hours)	9,000	9,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.