0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - SSA-8240 (Paper Form)

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

⚠️ Notice: This information collection may be referencing outdated material.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-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
SSA-8240 Authorization for the Social Security Administration to SSA-8240.pdf www.ssa.gov Form and Instruction
SSA-8240 Authorization for the Social Security Administration to SSA-8240.pdf www.ssa.gov Form and Instruction

Information Collection (IC) Details

IC Title:	0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - SSA-8240 (Paper Form)	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 404.1588(b)(4) 20 CFR 404.703(b) 20 CFR 404.1588(b)(3)(iii)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-8240	Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers	SSA-8240.pdf	www.ssa.gov	No		Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150,000	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	150,000	150,000
Annual IC Time Burden (Hours)	20,000	20,000
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.