Information Collection

Internet-Based Static or Dynamic Webform (through Upload Documents or CPAS)

IC 260288 under ICR 202604-0960-012 · OMB 0960-0830.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Upload Documents (eSubmit) Screen Package.pdf	Other-Internet Screens
Upload Documents Screen Package - Customer Initiated and Credential Step-Up (Revised Screens - 3-20-25).pdf	Other-Internet Screens
Upload Documents - Revised Privacy Act Statement.pdf	Other-Revised Privacy Act Statement
Upload Documents IRP - Screen Package.pdf	Other-Internet Screens
Conversational Landing page sceens.pdf	Other-Redesigned Landing Page
Sample Conversational - Updated Screens (SSA-455).pdf	Other-Sample Conversational Dynamic
Sample Conversational - Updated Screens (SSA-821).pdf	Other-Sample Conversational Dynamic
Current Sample Dynamic Forms Screen Package (SSA-4162).pdf Previous Dynamic Pathing Screen (Sample)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.704 20 CFR 422.505 20 CFR 404.1512 20 CFR 416.200 20 CFR 416.912

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Revised Privacy Act Statement	www.ssa.gov	Yes	No	Printable Only
Other-Internet Screens	www.ssa.gov (mySocial Security Account)	Yes	Yes	Fillable Fileable Signable
Other-Redesigned Landing Page	www.ssa.gov (Upload Documents)	Yes	Yes	Fillable Fileable Signable
Other-Sample Conversational Dynamic Pathing	www.ssa.gov (Upload Documents)	Yes	Yes	Fillable Fileable Signable
Other-Sample Conversational Dynamic Pathing	www.ssa.gov (Upload Documents)	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 115,369

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	115,369	115,369
Annual IC Time Burden (Hours)	365,335	365,335
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Previous Dynamic Pathing Screen (Sample)		04/28/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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