Information Collection

ePFT - Respondent Type 3 (ex: Attorney Representatives)

IC 251889 under ICR 202202-0960-008 · OMB 0960-0825.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Journey Through SSA.gov to Enter ePFT.pdf	Other-Internet and Mobile App Screen
Journey Through SSA.gov to Enter ePFT.pdf	Instruction
SSI Online Appointment Screens -Assistor-3rd party path.pdf	Other-Internet and Mobile App Screen
SSI Online Appointment Screens -Assistor-3rd party path.pdf	Other-Internet and Mobile App Screen

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.340 - 416.345 20 CFR 404.630

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
Instruction			Journey Through SSA.gov to Enter ePFT.pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet and Mobile App Screens			SSI Online Appointment Screens -Assistor-3rd party path.pdf	www.ssa.gov	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: 2,125

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,250	4,250
Annual IC Time Burden (Hours)	496	496
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.