Information Collection

0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - SSA-8240 (Paper Form)

IC 265223 under ICR 202412-0960-010 · OMB 0960-0837.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-8240 0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - SSA-8240 (Paper Form)	Form and Instruction
Form SSA-8240 Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers 0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - SSA-8240 (Paper Form)	Form and Instruction
SSA-8240 Authorization for the Social Security Administration to SSA-8240.pdf www.ssa.gov	Form and Instruction
SSA-8240 Authorization for the Social Security Administration to SSA-8240.pdf www.ssa.gov	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - SSA-8240 (Paper Form)

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 404.1588(b)(4) 20 CFR 404.703(b) 20 CFR 404.1588(b)(3)(iii)

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	SSA-8240			www.ssa.gov	No		Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	150,000	150,000
Annual IC Time Burden (Hours)	80,000	80,000
Annual IC Cost Burden (Dollars)	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.

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