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Information Collection

Work Activity Report (Self-Employment) - Submittable PDF Version via Upload Documents

IC 261594 under ICR 202504-0960-004 · OMB 0960-0598.

Documents and Forms
Document Name
Document Type
Other-Submited through the Upload Do
Other-Submited through the Upload Do
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Work Activity Report (Self-Employment) - Submittable PDF Version via Upload Documents
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1584-404.1593 20 CFR 416.971-416.976 20 CFR 404.1520(b) 20 CFR 404.1571-404.1576

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Submited through the Upload Documents Portal SSA-820-BK - DRAFT (Revised Version).pdf www.ssa.gov (mySocial Security Account) Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

1,533 0
   
Individuals or Households
 
   100 %

  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 1,533 0 0 -1,324 0 2,857
Annual IC Time Burden (Hours) 1,916 0 0 -465 0 2,381
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-820-BK - Current Version SSA-820-BK (Current Version).pdf 01/08/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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