Information Collection

0960-0579 SSA-3368 (EDCS Screens) 410.1560 416.960

IC 262477 under ICR 202309-0960-005 · OMB 0960-0834.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0834 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-3368 EDCS Screenshots (Revised for PRW NPRM).docx www.ssa.gov	Other-Intranet Screens
SSA-3368 EDCS Screenshots (Revised for PRW NPRM).docx www.ssa.gov	Other-Intranet Screens
SSA-3368 EDCS Screenshots (Current).pdf Current SSA-3368 EDCS Screens	IC Document
SSA-3368 EDCS Screenshots (Current).pdf Current SSA-3368 EDCS Screens	IC Document

IC Title:

0960-0579 SSA-3368 (EDCS Screens) 410.1560 416.960

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 410.1560 20 CFR 416.960

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-Intranet Screens			SSA-3368 EDCS Screenshots (Revised for PRW NPRM).docx	www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,263,104

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,263,104	1,263,104
Annual IC Time Burden (Hours)	2,126,225	2,126,225
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-3368 EDCS Screens	SSA-3368 EDCS Screenshots (Current).pdf	10/02/2023

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