OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Ssa-2935

IC 183776 under ICR 202502-0960-005 · OMB 0960-0189.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Revised Privacy Act and PRA St
Other-Revised Privacy Act and PRA St
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SSA-2935
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-2935 Authorization to the Social Security Administration to Obtain Personal Informaition SSA-2935 - Revised Version.pdf No   Fillable Fileable
Other-Revised Privacy Act and PRA Statements 0960-0189 - Updated PA and PRA Statements.pdf No   Paper Only

Income Security General Retirement and Disability

 

2,350 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,350 0 0 0 0 2,350
Annual IC Time Burden (Hours) 7,246 0 0 6,384 0 862
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-2935 SSA-2935 - Current Version.pdf 06/27/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.