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Federal forms, ICRs, and supporting documents

Information Collection

SSA-L725 - Letter to Employer Requesting Information About Wages Earned by Beneficiary

IC 8933 under ICR 202602-0960-006 · OMB 0960-0034.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Revised PA and PRA Statements
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SSA-L725 - Letter to Employer Requesting Information About Wages Earned by Beneficiary
 
No Modified
 
Voluntary
 
20 CFR 404.1584-404.1593 20 CFR 404.1520(b) 20 CFR 404.1571-404.1576

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-L725 - Revised Letter to Employer Requesting Information About Wages Earned by Beneficiary SSA-L725 -Revised.pdf No   Fillable Printable
Other-Revised PA and PRA Statements PA and PRA Statement - Revised.docx No   Paper Only

Income Security General Retirement and Disability

 

124,000 0
   
Individuals or Households
 
   0 %

  Requested 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 124,000 0 0 -46,000 0 170,000
Annual IC Time Burden (Hours) 93,000 0 0 -20,333 0 113,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-L725 ssa-L725 - Current.pdf 06/03/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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