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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Internet Requestors
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
42 CFR 401.45
42 CFR 402
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Internet Screens
Attachment A Internet Screens.pdf
www.socialsecurity.gov
Yes
Yes
Fillable Fileable Signable
Other-PRA Statement
Attachment E - Paperwork Reduction Act Language Link for Public Credentialing and Authentication.pdf
www.socialsecurity.gov
Yes
No
Printable Only
Other-Internet Screens
Current Electronic Access and RCS Screens.pdf
Yes
Yes
Fillable Fileable Signable
Other-Internet Screens
Current Screens for TOS and APO-FPO Drop Down Boxes.pdf
www.socialsecurity.gov
Yes
Yes
Fillable Fileable Signable
Other-Internet Screens
Internet TOS Screens - Revised.pdf
www.socialsecurity.gov
Yes
Yes
Fillable Fileable Signable
Other-Internet Screen
Internet Help Screen - Revised.pdf
www.socialsecurity.gov
Yes
Yes
Fillable Fileable Signable
Other-Internet Screens
Internet Error Screens - Revised.pdf
www.socialsecurity.gov
Yes
Yes
Fillable Fileable Signable
Other-mySocialSecurity Terms of Service (TOS) screens (revised)
REVISED Screens.doc
Yes
Yes
Fillable Fileable Signable
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:
21,058,823
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
21,058,823
0
3,158,823
0
0
17,900,000
Annual IC Time Burden (Hours)
2,807,843
0
421,176
0
0
2,386,667
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
mySocialSecurity Terms of Service (TOS) screens (current)
Current Screens.doc
03/13/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.