Information Collection

eLAS - Intranet Application

IC 246421 under ICR 202402-0960-008 · OMB 0960-0822.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0822 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
eLAS Screens - Initial Claims.pdf	Other-Intranet Screens
eLAS Screens - Initial Claims.pdf	Other-Intranet Screens
eLAS Screens - Post Entitlement Event.pdf	Other-Intranet Screens
eLAS Screens - Post Entitlement Event.pdf	Other-Intranet Screens
eLAS Privacy Act Statement.docx	Other-Privacy Act Statement
eLAS Privacy Act Statement.docx	Other-Privacy Act Statement
eLAS screens (revised).pdf	Other- eLAS screens (revised)
eLAS screens (revised).pdf	Other- eLAS screens (revised)
eLAS screens (current).pdf eLAS screens (current)	IC Document
eLAS screens (current).pdf eLAS screens (current)	IC Document

IC Title:

eLAS - Intranet Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.630 20 CFR 416.345

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Intranet Screens	eLAS Screens - Initial Claims.pdf	Yes	Yes	Fillable Fileable Signable
Other-Intranet Screens	eLAS Screens - Post Entitlement Event.pdf	Yes	Yes	Fillable Fileable Signable
Other-Privacy Act Statement	eLAS Privacy Act Statement.docx	Yes	No	Printable Only
Other- eLAS screens (revised)	eLAS screens (revised).pdf	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: 5,885,731

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,885,731	5,885,731
Annual IC Time Burden (Hours)	980,955	980,955
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
eLAS screens (current)	eLAS screens (current).pdf	02/27/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.