View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0960-0472	ICR Reference No: 198902-0960-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: SOCIAL SECURITY REQUEST FOR EMPLOYMENT INFORMATION
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/14/1989
	Date Received in OIRA: 02/21/1989
Terms of Clearance: SSA will submit a copy of this form to OMB with the burden disclosure statement printed on it when it is distributed for use.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1992	04/30/1992
Responses	15,000	0	0
Time Burden (Hours)	1,250	0	0
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.