Information Collection

People whose SSNs SSA will verify - Reading and Signing

IC 240657 under ICR 202507-0960-007 · OMB 0960-0817.

Documents and Forms

Document Name Document Type
Form eCBSV User Agreeme eCBSV User Agreement People whose SSNs SSA will verify - Reading and Signing Form and Instruction
Form eCBSV User Agreeme eCBSV User Agreement People whose SSNs SSA will verify - Reading and Signing Form and Instruction
Form SSA-89 Authorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification People whose SSNs SSA will verify - Reading and Signing Form and Instruction
Form SSA-89 Authorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification People whose SSNs SSA will verify - Reading and Signing Form and Instruction
eCBSV Customer Connection Screen Package.docx www.ssa.gov Other-Internet Screens
eCBSV Customer Connection Screen Package.docx www.ssa.gov Other-Internet Screens
eCBSV Online Registration and Enrollment Instructions.docx Other-Online Registration and Enroll
eCBSV Online Registration and Enrollment Instructions.docx Other-Online Registration and Enroll
eCBSV User Agreeme eCBSV User Agreement eCBSV User Agreement - Current Version (since 2025 Change Request).docx www.ssa.gov Form and Instruction
eCBSV User Agreeme eCBSV User Agreement eCBSV User Agreement - Current Version (since 2025 Change Request).docx www.ssa.gov Form and Instruction
SSA-89 Authorization for the Social Security Administration (SS SSA-89 - Current Version (since 2025 Change Request).pdf www.ssa.gov Form and Instruction
SSA-89 Authorization for the Social Security Administration (SS SSA-89 - Current Version (since 2025 Change Request).pdf www.ssa.gov Form and Instruction
eCBSV User Agreement - Previous Version (prior to the 2025 Change Request).docx Previous User Agreement (prior to the approved 2025 Change Request) IC Document
eCBSV User Agreement - Previous Version (prior to the 2025 Change Request).docx Previous User Agreement (prior to the approved 2025 Change Request) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	People whose SSNs SSA will verify - Reading and Signing	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 401.100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	eCBSV User Agreement	eCBSV User Agreement	eCBSV User Agreement - Current Version (since 2025 Change Request).docx	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens			eCBSV Customer Connection Screen Package.docx	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Online Registration and Enrollment Instructions.docx			eCBSV Online Registration and Enrollment Instructions.docx		Yes	Yes	Fillable Fileable
Form and Instruction	SSA-89	Authorization for the Social Security Administration (SSA) to Release Social Security Number (SSN) Verification	SSA-89 - Current Version (since 2025 Change Request).pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58,000,000	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	Previously Approved
Annual Number of Responses for this IC	58,000,000	-18,000,000	76,000,000
Annual IC Time Burden (Hours)	2,900,000	-900,000	3,800,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Previous User Agreement (prior to the approved 2025 Change Request)	eCBSV User Agreement - Previous Version (prior to the 2025 Change Request).docx	03/23/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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