Internet (BBA 824)

Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers

Documents and Forms

Document Name Document Type
Wage and Employment Information Authorization-Web screens.docx Other-BBA 824 Internet Screens
Wage and Employment Information Authorization-Web screens.docx Other-BBA 824 Internet Screens

Information Collection (IC) Details

IC Title:	Internet (BBA 824)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-BBA 824 Internet Screens			Wage and Employment Information Authorization-Web screens.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 147,820	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	147,820	-320,063	467,883
Annual IC Time Burden (Hours)	24,637	9,041	15,596
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.