Information Collection

Upload Documents (eSubmit) Release #2

IC 260289 under ICR 202503-0960-005 · OMB 0960-0830.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0830 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Upload Documents (eSubmit) Screen Package.pdf www.ssa.gov	Other-Internet Screens
Upload Documents (eSubmit) Screen Package.pdf www.ssa.gov	Other-Internet Screens
Proposed Revision to eSignature Language Needed to Include the SSA-632 in Upload Documents (eSubmit).pdf www.ssa.gov	Other-Revised eSignature Screen
Proposed Revision to eSignature Language Needed to Include the SSA-632 in Upload Documents (eSubmit).pdf www.ssa.gov	Other-Revised eSignature Screen
Upload Documents - Customer Initiated Screens.pdf www.ssa.gov	Other-Internet Screens
Upload Documents Screen Package - Customer Initiated and Credential Step-Up (Revised Screens - 3-20-25).pdf www.ssa.gov	Other-Internet Screens

IC Title:

Upload Documents (eSubmit) Release #2

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 416.200 20 CFR 416.912 20 CFR 422.505 20 CFR 404.704 20 CFR 404.1512

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Revised eSignature Screen	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens	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: 960,196

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	Previously Approved
Annual Number of Responses for this IC	960,196	960,196
Annual IC Time Burden (Hours)	496,101	496,101
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].