Information Collection

0960-0715 - myWage Report (Internet Application)

IC 265222 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⚠️ Notice: This information collection may be referencing outdated material.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
myWage Report Screens.pdf www.ssa.gov Other-Internet Screens
myWage Report Screens.pdf www.ssa.gov Other-Internet Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	0960-0715 - myWage Report (Internet Application)	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 416.708(c) 20 CFR 416.709 20 CFR 404.703(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			myWage Report Screens.pdf	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: 1,458	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	17,496	17,496
Annual IC Time Burden (Hours)	2,041	2,041
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.