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Information Collection

Data Exchange Request Form - Private Sector Respondents

IC 215635 under ICR 202605-0960-003 · OMB 0960-0802.

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Information Collection (IC) Details

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Data Exchange Request Form - Private Sector Respondents
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-157 Data Exchange Request Form DXRF Screens for SSA-157.pdf Yes Yes Fillable Fileable Signable
Form SSA-157 Data Exchange Request Form SSA-157 (Current Paper Version).pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

74 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 74 0 0 0 0 74
Annual IC Time Burden (Hours) 592 0 0 0 0 592
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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