Information Collection

Authorization to the Social Security Administration to Obtain Personal Information

IC 198351 under ICR 202605-0960-009 · OMB 0960-0066.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-2935-OP1 Authorization to SSA to Obtain Personal Information Authorization to the Social Security Administration to Obtain Personal Information	Form and Instruction
Form SSA-2935-OP1 Authorization to SSA to Obtain Personal Information Authorization to the Social Security Administration to Obtain Personal Information	Form and Instruction
SSA-L2937.pdf	Other-Cover Letter
SSA-L2937.pdf	Other-Cover Letter
SSA-2935-OP1 Authorization to SSA to Obtain Personal Information SSA-2935-OP1.pdf	Form and Instruction
SSA-2935-OP1 Authorization to SSA to Obtain Personal Information SSA-2935-OP1.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-2935-OP1				No		Paper Only
Other-Cover Letter					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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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