Information Collection

i) 20 CFR 411.320 - SSA-1374, EN Contract Changes

IC 190204 under ICR 202401-0960-002 · OMB 0960-0644.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0644 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1394 i) 20 CFR 411.320 - SSA-1374, EN Contract Changes	Form and Instruction
SSA-1394 Employment Network Contract Change Form SSA-1394 - Revised Version.pdf	Form and Instruction
SSA-1394 Employment Network Contract Change Form SSA-1394 - Revised Version.pdf	Form and Instruction

IC Title:

i) 20 CFR 411.320 - SSA-1374, EN Contract Changes

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 411.320

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
Form and Instruction	SSA-1394	Employment Network Contract Change Form	SSA-1394 - Revised Version.pdf		Yes	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 929

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	929	929
Annual IC Time Burden (Hours)	77	77
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.