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

Document Name Document Type
Wage and Employment Information Authorization- Internet Screens (0960-0807).pdf www.ssa.gov Other-Internet Screens
Wage and Employment Information Authorization- Internet Screens (0960-0807).pdf www.ssa.gov 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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			Wage and Employment Information Authorization- Internet Screens (0960-0807).pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable

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 %

	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

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.