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

Documents and forms in this information collection
Document Name	Document Type
Form SSA-L725 - Revised Letter to Employer Requesting Information About Wages Earned by Beneficiary SSA-L725 - Letter to Employer Requesting Information About Wages Earned by Beneficiary	Form and Instruction
PA and PRA Statement - Revised.docx	Other-Revised PA and PRA Statements
SSA-L725 - Revised Letter to Employer Requesting Information About Wages Ea SSA-L725 -Revised.pdf	Form and Instruction
ssa-L725 - Current.pdf SSA-L725	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.1584-404.1593 20 CFR 404.1520(b) 20 CFR 404.1571-404.1576

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-L725 - Revised				No		Fillable Printable
Other-Revised PA and PRA Statements					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 124,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	124,000	-46,000	170,000
Annual IC Time Burden (Hours)	93,000	-20,333	113,333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-L725		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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