Information Collection

0960-0807 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers - Internet Screens

IC 265226 under ICR 202412-0960-010 · OMB 0960-0837.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Wage and Employment Information Authorization- Internet Screens (0960-0807).pdf	Other-Internet Screens
Wage and Employment Information Authorization- Internet Screens (0960-0807).pdf	Other-Internet Screens

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 - Internet Screens

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

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
Other-Internet Screens				www.ssa.gov	Yes	Yes	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: 147,820

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	147,820	147,820
Annual IC Time Burden (Hours)	59,128	59,128
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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