Information Collection

Internet Sign-Ins

IC 239638 under ICR 202205-0960-003 · OMB 0960-0789.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0789 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
eAccess Screen Package.pdf	Other-Internet Screens
eAccess Screen Package.pdf	Other-Internet Screens
OMB Screen Package - Revised (5-22 Release).pdf www.ssa.gov	Other-Internet Screens
OMB Screen Package - Revised (5-22 Release).pdf www.ssa.gov	Other-Internet Screens

IC Title:

Internet Sign-Ins

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 402 42 CFR 401.45

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
Other-Internet Screens			eAccess Screen Package.pdf		Yes	Yes	Fillable Fileable Signable
Other-Internet Screens			OMB Screen Package - Revised (5-22 Release).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: 74,431,021

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	74,431,021	74,431,021
Annual IC Time Burden (Hours)	1,240,517	1,240,517
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.