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Federal forms, ICRs, and supporting documents

OMB control number

Employee Identification Statement

OMB 0960-0473 ยท SSA.

OMB 0960-0473

When two or more individuals report earnings under the same SSN, SSA collects information on Form SSA-4156 to credit the earnings to the correct individual and the correct SSN. We send the SSA-4156 to the employer to: (1) identify the employees involved; (2) resolve the discrepancy; and (3) credit the earnings to the correct SSN. The respondents are employers involved in erroneous wage reporting for an employee.

The latest form for Employee Identification Statement expires 2027-08-31 and is listed under ICR 202006-0960-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-4156 Employee Identification StatementForm
Addendum - 0473.docxSupplementary Document
Addendum - 0473.docx Supplementary Document
Supporting Statement - 0473 (Final).docxSupporting Statement A
Supporting Statement - 0473.docxSupporting Statement A
Employee Identification Statement Form
Employee Identification Statement Other-Revised PRA Statement

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202006-0960-003 Revision of a currently approved collection 2020-10-06
201701-0960-002 Revision of a currently approved collection 2017-06-09 Approved without change
201312-0960-007 Revision of a currently approved collection 2014-04-02 Approved without change
201010-0960-003 Revision of a currently approved collection 2010-12-30 Approved without change
200801-0960-007 Extension without change of a currently approved collection 2008-02-19 Approved without change
200412-0960-005 Revision of a currently approved collection 2004-12-15 Approved without change
200109-0960-003 Revision of a currently approved collection 2001-09-17 Approved without change
199809-0960-004 Revision of a currently approved collection 1998-09-02 Approved without change
199506-0960-011 Revision of a currently approved collection 1995-06-23 Approved without change
199204-0960-007 Revision of a currently approved collection 1992-04-13 Approved without change
198908-0960-030 No material or nonsubstantive change to a currently approved collection 1989-08-25 Approved with change
198903-0960-006 New collection (Request for a new OMB Control Number) 1989-03-30 Approved without change