Information Collection Request

Internet Request for Replacement of Form SSA-1099/SSA-1042S

ICR 202408-0960-003 · OMB 0960-0583 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Justification for Non-Substantive Changes - 0960-0583.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-08-14 Available
Justification for Non-Substantive Changes - 0960-0583.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-08-14 Repair queued
Supporting Statement - 0583 (Final).docx Supporting Statement A Uploaded 2022-02-25 Available
Supporting Statement - 0583 (Final).docx Supporting Statement A Uploaded 2022-02-25 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
204529 Other (Program Service Center) (SSA-1099/1042S) Other-Call flow screens Unchanged
204528 Live calls to local FOs (SSA-1099/1042S) Other-Call Flow Screens Modified
204527 Live calls to N8NN SSA-1099/1042S Other-Telephone Call flow Screens Unchanged
204526 Automated Telephone Requestors SSA-1099/1042S Other-Automated Telephone Requestor Screens Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2025 05/31/2025 05/31/2025
1,636,746 0 1,636,746
596,168 0 596,168
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Automated Telephone Requestors SSA-1099/1042S
Live calls to N8NN SSA-1099/1042S
Live calls to local FOs (SSA-1099/1042S)
Other (Program Service Center) (SSA-1099/1042S)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,636,746 1,636,746 0 0 0 0
Annual Time Burden (Hours) 596,168 596,168 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No