Information Collection Request
Changes to the Use of Electronic Payroll Data to Improve Program Administration
ICR 202402-0960-003 · OMB 0960-0837 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0837 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 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 | Repair queued |
| Form SSA-L4201 0960-0138 - Letter to Employer Requesting Wage Information (SSA-L4201) |
Form and Instruction | New | Missing upstream |
| Form SSA-L725 0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725) |
Form and Instruction | New | Repair queued |
 Addendum - 0960-NEW (PIE NPRM).docx |
Supplementary Document | Uploaded 2024-02-15 | Repair queued |
| Supporting Statement - 0960-NEW (PIE NPRM).docx |
Supporting Statement A | Uploaded 2024-02-15 | Repair queued |
IC Document Collections
0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - Internet ScreensICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0837 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |