Information Collection

0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725)

IC 265218 under ICR 202402-0960-003 · OMB 0960-0837.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0837 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-L725 0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725) Form and Instruction
SSA-L725 Letter to Employer Requesting Information About Wages Ea SSA-L725.pdf www.ssa.gov Form and Instruction
SSA-L725 Letter to Employer Requesting Information About Wages Ea SSA-L725.pdf www.ssa.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725)	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 703(a)&(b) 20 CFR 404.1588(b)(3)(iii) & (b)(4) 20 CFR 416.708(c) 20 CFR 416.709 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-L725	Letter to Employer Requesting Information About Wages Earned by Beneficiary	SSA-L725.pdf	www.ssa.gov	No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 170,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	170,000	170,000
Annual IC Time Burden (Hours)	113,333	113,333
Annual IC Cost Burden (Dollars)	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.