Information Collection Request

Electronic Consent Based Social Security Number Verification

ICR 202505-0960-002 · OMB 0960-0817 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-89 Authorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification Form and Instruction Modified Available
Form eCBSV User Agreeme eCBSV User Agreement Form and Instruction Modified Available
Form eCBSV User Agreeme CPA Compliance Review and Report Form and Instruction Modified Repair queued
Form SSA-89 Authorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification Form and Instruction Modified Available
Form eCBSV User Agreeme eCBSV User Agreement Form and Instruction Modified Available
Form eCBSV User Agreeme Sending in the verification request, calling our system, and getting a response Form and Instruction Modified Repair queued
Form SSA-89 Authorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification Form and Instruction Modified Available
Form eCBSV User Agreeme eCBSV User Agreement Form and Instruction Modified Available
Form eCBSV User Agreeme People whose SSNs SSA will verify - Reading and Signing Form and Instruction Modified Repair queued
Justification for Non-Substantive Changes - 0817 (Revised Version - 5-27-25).docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-27 Available
Justification for Non-Substantive Changes - 0817.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-16 Repair queued
Supporting Statement - 0817.docx Supporting Statement A Uploaded 2024-05-30 Available
Supporting Statement - 0817.docx Supporting Statement A Uploaded 2024-05-30 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
240660 CPA Compliance Review and Report Form and Instruction ModifiedAuthorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification
240660 CPA Compliance Review and Report Form and Instruction ModifiedeCBSV User Agreement
240660 CPA Compliance Review and Report Form and Instruction Modified
240660 CPA Compliance Review and Report Other-Internet Screens Modified
240658 Sending in the verification request, calling our system, and getting a response Form and Instruction ModifiedAuthorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification
240658 Sending in the verification request, calling our system, and getting a response Form and Instruction ModifiedeCBSV User Agreement
240658 Sending in the verification request, calling our system, and getting a response Form and Instruction Modified
240658 Sending in the verification request, calling our system, and getting a response Other-Internet Screens Modified
240657 People whose SSNs SSA will verify - Reading and Signing Form and Instruction ModifiedAuthorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification
240657 People whose SSNs SSA will verify - Reading and Signing Form and Instruction ModifiedeCBSV User Agreement
240657 People whose SSNs SSA will verify - Reading and Signing Form and Instruction Modified
240657 People whose SSNs SSA will verify - Reading and Signing Other-Internet Screens Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2027 07/31/2027 07/31/2027
152,000,021 0 152,000,021
5,068,347 0 5,068,347
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
CPA Compliance Review and Report eCBSV User Agreement, SSA-89 ,  
People whose SSNs SSA will verify - Reading and Signing eCBSV User Agreement, SSA-89 ,  
Sending in the verification request, calling our system, and getting a response eCBSV User Agreement, SSA-89 ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 152,000,021 152,000,021 0 0 0 0
Annual Time Burden (Hours) 5,068,347 5,068,347 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No