Information Collection

myWageReport

IC 256160 under ICR 202209-0960-007 · OMB 0960-0715.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0715 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
myWage Report Screens.pdf	Other-myWage Report Screens
myWR-Screen Design (revised).docx	Other-myWage Report Screens
myWageReport Screens (current).docx myWage Report Screens (current)	IC Document

IC Title:

myWageReport

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-myWage Report Screens			myWR-Screen Design (revised).docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,557

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	42,684	42,684
Annual IC Time Burden (Hours)	4,980	4,980
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
myWage Report Screens (current)	myWageReport Screens (current).docx	05/05/2023

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