Information Collection

Online Request for Correction of Earnings Record

IC 261098 under ICR 202307-0960-003 · OMB 0960-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0029 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
mySSA Earnings Correction Screener (current).pdf	Other-mySSA Earnings Correction Scre

IC Title:

Online Request for Correction of Earnings Record

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-mySSA Earnings Correction Screener			mySSA Earnings Correction Screener (current).pdf		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: 76,047

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	76,047	76,047
Annual IC Time Burden (Hours)	19,012	19,012
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.