Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CPA Compliance Review and Report Modified 90 7200 750000 Other-See Attachment E in User Agreement
Cancellation of Agreement Unchanged 20 10 0 Other-User Agreement Notice Cancellation
Completing Form SSA-89 Modified 2800000 140000 3920000 Form SSA-89 Authroiztion for the Social Security Administration to Release SSN Verification
Other-Revised PA Statement
Compliance Review Activities Unchanged 22590 22590 0 Instruction
Creation of SSN Requests, Data Entry, Documentation Maintenance Etc. Unchanged 22590 22590 0 Instruction
Instruction
Dispute Resolution Unchanged 20 40 0 Other-User Agreement Dispute Resolution
Registration Process Modified 13 26 65000 Other-Section 2 of User Guide
Registration User Agreement for External Testing Environment for CBSV Web Services Unchanged 20 60 0 Other-User Agreement
Reporting Changes in Users' Status Unchanged 20 20 0 Other-User Agreement Data Exchange Activities
Reporting Issues Encountered on Web Service Testing Unchanged 1000 17 0 Other-User Agreement Data Exchange Activities
Responding to CPA Re-Contact Unchanged 5750 479 0 Other-See Attachment E of the User Agreement
Storing Consent Forms Modified 22590 22590 27000 Form SSA-88 Pre-Approval Form For Consent Based Social Security Number Verification (CBSV)
Other-Revised PA Statement
Using System to Upload Request Files, Check Status, Download Results Modified 22590 1883 0 Instruction
Other-Screen shots
Web Service Transactions for ETE User Agreement for CBSV Unchanged 1000 17 0 Other-User Agreement Data Exchange Activities
Total burden requested under this ICR: 2898293 217522 4762000  
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