Information Collection

SSA-10 (MCS/Telephone Interview)

IC 280626 under ICR 202605-0960-005 · OMB 0960-0004.

Documents and Forms

Document Name Document Type
MCS Screens.pdf Other-MCS Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SSA-10 (MCS/Telephone Interview)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-MCS Screens			MCS Screens.pdf		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: 490,129	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	490,129	490,129
Annual IC Time Burden (Hours)	743,362	743,362
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

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