View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	SSA-2 MCS Signature Proxy	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.315-.322 20 CFR 404.310-.311 20 CFR 404.601-.603 20 CFR 404.330-.333 20 CFR 404.1501-.1512

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-MCS Signature Proxy Screens			SSA-2 - MCS Screen Shot.pdf	Completed by SSA employee during field office interview	Yes	Yes	Fillable Fileable
Other-Intranet Screens			PCS Screen Package.pdf		Yes	Yes	Fillable Fileable Signable
Other-Privacy Act Statement for PCS			PCS Privacy Act Statement.pdf		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 447,610	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	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	447,610	0	0	0	0	447,610
Annual IC Time Burden (Hours)	104,442	0	0	0	0	104,442
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

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.