Information Collection

mySocial Security Survey

IC 261786 under ICR 202307-0960-001 · OMB 0960-0818.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0818 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
mySocial Security Survey.docx	Other-mySocial Security Survey
Decription of my Social Security Survey.docx Description of my Social Security Survey	IC Document

IC Title:

mySocial Security Survey

Agency IC Tracking Number:

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-mySocial Security Survey					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: 250,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250,000	250,000
Annual IC Time Burden (Hours)	20,833	20,833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description of my Social Security Survey		08/24/2023

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

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