View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Non-Federal Employer Signers
 
No Modified
 
Mandatory
 
5 CFR 334

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-187 www.ssa.gov Yes Yes Fillable Fileable Signable
Form and Instruction SSA-188 www.ssa.gov Yes Yes Fillable Fileable Signable
Other-Revised PA Statement Yes Yes Fillable Fileable Signable

General Government Central Personnel

 

12 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 12 0 0 0 0 12
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-187 Current 07/28/2026
SSA-188 Current 07/28/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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