OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

c. Consent for Release of Records (Electronic SSA-3288-OP1)+

IC 257878 under ICR 202601-0960-008 · OMB 0960-0566.

Documents and Forms
Document Name
Document Type
Other-Webform Application
Other-Internet Screens
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

c. Consent for Release of Records (Electronic SSA-3288-OP1)+
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 401.100

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Webform Application SSA-3288-OP1 - Revised Version.pdf www.ssa.gov/privacy Yes Yes Fillable Fileable Signable
Other-Internet Screens CASES OMB Screen Package (revised).pdf www.ssa.gov/privacy Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

1,152 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 1,152 0 0 0 0 1,152
Annual IC Time Burden (Hours) 768 0 0 0 0 768
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-3288-OP1: (Webform Application) (current) SSA-3288-APP - Current Version.pdf 07/22/2025
Current CASES Screens CASES OMB Screen Package (current).pdf 01/30/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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