Information Collection

i) 20 CFR 411.320 - SSA-1374, EN Contract Changes

IC 190204 under ICR 202403-0960-004 · OMB 0960-0644.

Documents and Forms

Document Name Document Type
Form SSA-1394 i) 20 CFR 411.320 - SSA-1374, EN Contract Changes Form and Instruction
Form SSA-1394 i) 20 CFR 411.320 - SSA-1374, EN Contract Changes Form and Instruction
SSA-1394 Employment Network Contract Change Form SSA-1394 - Revised Version.pdf Form and Instruction
SSA-1394 Employment Network Contract Change Form SSA-1394 - Revised Version.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	i) 20 CFR 411.320 - SSA-1374, EN Contract Changes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 411.320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-1394	Employment Network Contract Change Form	SSA-1394 - Revised Version.pdf		Yes	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 929	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	929	929
Annual IC Time Burden (Hours)	77	77
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.