Information Collection Request

Employer Report of Special Wage Payments

ICR 202603-0960-008 · OMB 0960-0565 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-131 Employer Report of Special Wage Payments Form Modified Available
Form SSA-131 Employer Report of Special Wage Payments Form Modified Available
Addendum - 0565.docx Supplementary Document Uploaded 2026-04-28 Available
Supporting Statement - 0565.docx Supporting Statement A Uploaded 2026-04-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9507 Employer Report of Special Wage Payments - Paper Version - No Response to Question #6 Form ModifiedEmployer Report of Special Wage Payments
195194 BSO Special Wage Payments Submission - Electronic Version Other-Internet Screens Modified
183800 Employer Report of Special Wage Payments - Paper Version - #6 Only Form ModifiedEmployer Report of Special Wage Payments

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2026
117,148 106,076
22,320 35,037
0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
BSO Special Wage Payments Submission - Electronic Version
Employer Report of Special Wage Payments - Paper Version - No Response to Question #6 SSA-131
Employer Report of Special Wage Payments - Paper Version - #6 Only SSA-131

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 117,148 106,076 0 0 11,072 0
Annual Time Burden (Hours) 22,320 35,037 0 0 -12,717 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No