Information Collection Request
Letter to Employer Requesting Wage Information
ICR 202405-0960-002 · OMB 0960-0138 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0138 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-L4201 Letter to Employer Requesting Wage Information |
Form | Modified | Available |
| Form SSA-L4201 Letter to Employer Requesting Wage Information |
Form | Modified | Repair queued |
 Justification for the Non-Substantive Changes (Signaure Removal) - 0138.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-05-09 | Available |
| Justification for the Non-Substantive Changes (Signaure Removal) - 0138.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-05-09 | Repair queued |
| Supporting Statement - 0138 (Clean Copy).docx |
Supporting Statement A | Uploaded 2023-06-13 | Available |
| Supporting Statement - 0138 (Clean Copy).docx |
Supporting Statement A | Uploaded 2023-06-13 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 9117 |  Letter to Employer Requesting Wage Information |
Form | Modified | |
| 9117 | Letter to Employer Requesting Wage Information |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0138 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202011-0960-001 |
| Date Submitted to OIRA | 2024-05-09 |
| Requested Expiration Date | 1969-12-31 |