Information Collection

Enterprise Scheduling System (ESS) - Technician-Assisted (Post Entitlement Appointments)

IC 254580 under ICR 202607-0960-008 · OMB 0960-0828.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
ESS screen package - Revised Version.pdf Other-Internal Screens
ASC De Minimis Screen Changes.pdf
www.ssa.gov
Other-Revised Internet Screens
ASC - Revised PA Screens.pdf Other-Revised Privacy Act Statement
Current Privacy Act Screens.pdf
Current Privacy Act Statement Screens
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-Internal Screens Yes Yes Fillable Fileable
Other-Revised Internet Screens www.ssa.gov Yes Yes Fillable Fileable Signable
Other-Revised Privacy Act Statement Yes Yes Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 150,000 0 0 0 0 150,000
Annual IC Time Burden (Hours) 262,500 0 0 0 0 262,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Current Privacy Act Statement Screens 07/22/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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