Information Collection

Government to Government Services Online Website Registration Form (SSA-159)

IC 180139 under ICR 202210-0960-003 · OMB 0960-0757.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0757 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-159 Government to Government Services Online Website Registration Form SSA-159 Government to Government Services Online Website Registration Form (SSA-159)	Form
GSO - Instructions.pdf	Instruction
GSO - Instructions.pdf	Instruction
Paperwork Reduction Act Statement 0960-0757 SSA-159 (revised).docx	Other-Paperwork Reduction Act (revis
Paperwork Reduction Act Statement 0960-0757 SSA-159 (revised).docx	Other-Paperwork Reduction Act (revis
SSA-159 Government to Government Services Online Website Registr SSA-159 (revised).pdf	Form
SSA-159 Government to Government Services Online Website Registr SSA-159 (revised).pdf	Form
SSA-159 (current).pdf SSA-159 - Current	IC Document
SSA-159 (current).pdf SSA-159 - Current	IC Document

IC Title:

Government to Government Services Online Website Registration Form (SSA-159)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.45

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Instruction		No	Paper Only
Form	SSA-159	No	Fillable Printable
Other-Paperwork Reduction Act (revised)		No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,354

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,354	203	1,151
Annual IC Time Burden (Hours)	339	51	288
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-159 - Current		10/12/2022

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

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