Information Collection Request
Privacy and Disclosure of Official Records and Information; Availability of Information and Records to the Public
ICR 202301-0960-001 · OMB 0960-0566 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0566 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-3288 b. Consent of Release of Records - 20 CFR 401.100(a)&(b) - SSA-3288 |
Form and Instruction | Modified | Repair queued |
 Addendum - 0566.docx |
Supplementary Document | Uploaded 2023-01-11 | Repair queued |
| Supporting Statement - 0566.docx |
Supporting Statement A | Uploaded 2023-01-11 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 45122 |  e. FOIA Requests for Records - 20 CFR 402.130 |
Removed | ||
| 45121 | b. Consent of Release of Records - 20 CFR 401.100(a)&(b) - SSA-3288 |
Form and Instruction | Modified | |
| 45120 | a. Amendment of Records - 20 CFR 401.65(a) |
Modified | ||
| 45119 | b. Designating a Representative For Disclosure - 401.55(b) |
Removed | ||
| 38034 | a. Access to Records - 20 CFR 401.40(b)&(c) & 401.45 |
Removed | ||
| 257878 | c. Consent for Release of Records (Electronic SSA-3288-OP1)+ |
Other-Webform Application | New | |
| 213569 | f. Respondents who request access to an extract of their SSN record |
Other-SSN Printout | Removed |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0566 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201905-0960-005 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |