Information Collection Request

Statement Regarding Contributions

ICR 202509-0960-003 · OMB 0960-0020 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-783 Statement Regarding Contributions Form and Instruction Modified Available
Form SSA-783 Statement Regarding Contributions Form and Instruction Modified Repair queued
Justification for Non-substantive Changes to 0960-0020 (Final).docx Justification for No Material/Nonsubstantive Change Uploaded 2025-12-18 Available
Justification for Non-substantive Changes to 0960-0020 (Final).docx Justification for No Material/Nonsubstantive Change Uploaded 2025-12-18 Repair queued
Supporting Statement - 0020 (Final).docx Supporting Statement A Uploaded 2024-07-22 Available
Supporting Statement - 0020 (Final).docx Supporting Statement A Uploaded 2024-07-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
8915 Statement Regarding Contributions Form and Instruction ModifiedStatement Regarding Contributions
8915 Statement Regarding Contributions Form and Instruction 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
2,352 0 2,352
2,705 0 2,705
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Statement Regarding Contributions SSA-783

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 2,352 2,352 0 0 0 0
Annual Time Burden (Hours) 2,705 2,705 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No