Information Collection

Sending in the verification request, calling our system, and getting a response

IC 240658 under ICR 202402-0960-005 · OMB 0960-0817.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0817 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form eCBSV User Agreeme Sending in the verification request, calling our system, and getting a response	Form and Instruction
eCBSV Customer Connection Screen Package.docx	Other-Internet Screens
eCBSV Customer Connection Screen Package.docx	Other-Internet Screens
eCBSV Online Registration and Enrollment Instructions.docx	Other-Online Registration and Enroll
eCBSV Online Registration and Enrollment Instructions.docx	Other-Online Registration and Enroll
eCBSV User Agreeme eCBSV User Agreement eCBSV User Agreement.docx	Form and Instruction
eCBSV User Agreeme eCBSV User Agreement eCBSV User Agreement.docx	Form and Instruction

IC Title:

Sending in the verification request, calling our system, and getting a response

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 401.100

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	eCBSV User Agreement	eCBSV User Agreement	eCBSV User Agreement.docx	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens			eCBSV Customer Connection Screen Package.docx	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Online Registration and Enrollment Instructions.docx			eCBSV Online Registration and Enrollment Instructions.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 76,000,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	76,000,000	-1,024,000,000	1,100,000,000
Annual IC Time Burden (Hours)	1,266,667	-17,066,666	18,333,333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.