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


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0960-0565 199708-0960-004
Historical Active 199611-0960-004
SSA
Employer Report of Special Wage Payments
Revision of a currently approved collection   No
Regular
Approved without change 10/07/1997
Retrieve Notice of Action (NOA) 08/19/1997
This information collection is approved through 1-99 under the following condition: As indicated by SSA, the agency is creating this form at the request of employer payroll associations to streamline the collection of information on one-time payments to recent retirees. Upon resubmission, SSA will provide OMB with a report on the success of the implementation of the form, including feedback from the employer payroll associations.
  Inventory as of this Action Requested Previously Approved
02/28/1999 02/28/1999 01/31/1999
100,000 0 100,000
33,367 0 33,333
0 0 0