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State's Report Of Wages Paid
STATE'S REPORT OF WAGES PAID
OMB: 0960-0321
IC ID: 115303
OMB.report
SSA
OMB 0960-0321
ICR 198409-0960-002
IC 115303
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0321 can be found here:
1985-11-01 - No material or nonsubstantive change to a currently approved collection
1985-08-15 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
STATE'S REPORT OF WAGES PAID
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-3963
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
1,500
0
-2,000
0
0
3,500
Annual IC Time Burden (Hours)
3,000
0
-4,000
0
0
7,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.