View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Application for Access to SSA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 31.6011(b)2 20 CFR 401.45 26 CFR 31.6109-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-120	Application For Access to SSA Systems	SSA-120 - Revised.pdf		No		Paper Only
Other-Privacy Act Statement			SSA-120 - Revised Privacy Act Statement.docx		No		Paper 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: 685	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	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	0	0	-685	0	0	685
Annual IC Time Burden (Hours)	0	0	-23	0	0	23
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Applicaiton For Access to SSA Systems	SSA-120 - Current.pdf	08/28/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.