Changes to the Use of Electronic Payroll Data to Improve Program Administration

ICR 202402-0960-003

OMB: 0960-0837

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-8240 0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - SSA-8240 (Paper Form) Form and Instruction	New
Form SSA-L4201 0960-0138 - Letter to Employer Requesting Wage Information (SSA-L4201) Form and Instruction	New
Form SSA-L725 0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725) Form and Instruction	New
Addendum - 0960-NEW (PIE NPRM).docx Supplementary Document	2024-02-15
Supporting Statement - 0960-NEW (PIE NPRM).docx Supporting Statement A	2024-02-15

IC Document Collections

IC ID	Document Title	Status
265226	0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - Internet Screens Other-Internet Screens	New
265225	0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Provider - Intranet Screens Other-Intranet Screens	New
265223	0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - SSA-8240 (Paper Form) Form and Instruction	New
265222	0960-0715 - myWage Report (Internet Application) Other-Internet Screens	New
265221	0960-0715 - Telephone Wage Reporting Other-Automated Telephone Call Flow	New
265220	0960-0715 - SSA's Mobile Wage Reporting Other-Mobile Wage Reporting Screens	New
265219	0960-0138 - Letter to Employer Requesting Wage Information (SSA-L4201) Form and Instruction	New
265218	0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725) Form and Instruction	New