OMB control number

Data Exchange Request Form

OMB 0960-0802 · SSA.

OMB 0960-0802

SSA engages in various forms of data exchanges from Social Security number verifications to computer matches for benefit eligibility, depending on the requestor's business needs. Section 1106 of the Social Security Act requires we consider the requestor's legal authority to receive the data, our disclosure policies, systems' feasibility, systems' security, and costs before entering into a data exchange agreement. We will use Form SSA-157, Data Exchange Request Form, for this purpose. Respondents are Federal, State, local, and foreign governments, as well as private organizations seeking to share data electronically with SSA.

The latest form for Data Exchange Request Form expires 2026-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-157 Data Exchange Request Form Form
Form SSA-157 eCBSV Applicants – SSA-157 with Certification Statement Form
Form SSA-157 Data Exchange Request Form Form
Form SSA-157 Data Exchange Request Form - State and Local Governments Form
Form SSA-157 Data Exchange Request Form Form
Form SSA-157 Data Exchange Request Form - Private Sector Respondents Form
Supporting Statement - 0960-0802 (Final).docx Supporting Statement A
Supporting Statement - 0802 (Final).docx Supporting Statement A
Addendum - 0802 (Final).docx Supplementary Document
Addendum - 0802 (Final).docx Supplementary Document
eCBSV Applicants – SSA-157 with Certification Statement Form
eCBSV Applicants – SSA-157 with Certification Statement Form
eCBSV Applicants – SSA-157 with Certification Statement Instruction
Data Exchange Request Form - State and Local Governments Form
Data Exchange Request Form - State and Local Governments Form
Data Exchange Request Form - State and Local Governments Other-Revised Paperwork Reduction Act
Data Exchange Request Form - Private Sector Respondents Form
Data Exchange Request Form - Private Sector Respondents Form
Data Exchange Request Form - Private Sector Respondents Other-Revised Paperwork Reduction Act

All Historical Document Collections

202107-0960-006	Revision of a currently approved collection	2021-11-19
201904-0960-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-05-07
201803-0960-005 Approved with change	Revision of a currently approved collection	2018-07-26
201704-0960-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-04-14
201503-0960-007 Approved without change	New collection (Request for a new OMB Control Number)	2015-05-13

OMB Details

Data Exchange Request Form - Private Sector Respondents

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-157

Data Exchange Request Form

Fillable Fileable Signable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.