Information Collection

30908 SSA Mobile Wages Questionnaire 1-27-2022

IC 251583 under ICR 202204-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 30908 SSA Mobile W 30908 SSA Mobile Wages Questionnaire 1-27-2022	Form and Instruction
30908 SSA Mobile W 30908 SSA Mobile Wages Questionnaire 1-27-2022 30908 SSA Mobile Wages Questionnaire 1-27-2022.xlsx	Form and Instruction
30908 SSA Mobile W 30908 SSA Mobile Wages Questionnaire 1-27-2022 30908 SSA Mobile Wages Questionnaire 1-27-2022.xlsx	Form and Instruction
SSA Mobile Wage Reporting Clearance Request Form 1-27-2022.pdf SSA Mobile Wage Reporting Clearance Request Form 1-27-2022	IC Document
SSA Mobile Wage Reporting Clearance Request Form 1-27-2022.pdf SSA Mobile Wage Reporting Clearance Request Form 1-27-2022	IC Document
SSA Mobile Wage Reporting Intercept Survey Mapping Doc 1-27-2022.docx SSA Mobile Wage Reporting Intercept Survey Mapping Doc 1-27-2022	IC Document
SSA Mobile Wage Reporting Intercept Survey Mapping Doc 1-27-2022.docx SSA Mobile Wage Reporting Intercept Survey Mapping Doc 1-27-2022	IC Document

IC Title:

30908 SSA Mobile Wages Questionnaire 1-27-2022

Agency IC Tracking Number:

30908 SSA Mobile Wages Questionnaire 1-27-2022

IC Status: Unchanged

Obligation to Respond: Voluntary

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 and Instruction	30908 SSA Mobile Wages Questionnaire 1-27-2022	30908 SSA Mobile Wages Questionnaire 1-27-2022	30908 SSA Mobile Wages Questionnaire 1-27-2022.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Mobile Wage Reporting Clearance Request Form 1-27-2022	SSA Mobile Wage Reporting Clearance Request Form 1-27-2022.pdf	02/14/2022
SSA Mobile Wage Reporting Intercept Survey Mapping Doc 1-27-2022	SSA Mobile Wage Reporting Intercept Survey Mapping Doc 1-27-2022.docx	02/14/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.