Information Collection Request

Letter to Employer Requesting Information About Wages Earned by Beneficiary

ICR 202602-0960-006 · OMB 0960-0034 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-L725 - Revised Letter to Employer Requesting Information About Wages Earned by Beneficiary Form and Instruction Modified Available
Addendum - 0034 (Final).docx Supplementary Document Uploaded 2026-06-26 Available
Supporting Statement - 0034 (Final).docx Supporting Statement A Uploaded 2026-06-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
8933 SSA-L725 - Letter to Employer Requesting Information About Wages Earned by Beneficiary Form and Instruction ModifiedLetter to Employer Requesting Information About Wages Earned by Beneficiary
8933 SSA-L725 - Letter to Employer Requesting Information About Wages Earned by Beneficiary Other-Revised PA and PRA Statements Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 07/31/2026
124,000 170,000
93,000 113,333
0 0





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IC Title Form No. Form Name
SSA-L725 - Letter to Employer Requesting Information About Wages Earned by Beneficiary SSA-L725 - Revised

table that charts list of burden
  Total Request 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 124,000 170,000 0 0 -46,000 0
Annual Time Burden (Hours) 93,000 113,333 0 0 -20,333 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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