Request for Internet Services - Password Authentication

ICR 200102-0960-005

OMB: 0960-0632

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
9655
Migrated
ICR Details
0960-0632 200102-0960-005
Historical Active
SSA
Request for Internet Services - Password Authentication
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/27/2001
Retrieve Notice of Action (NOA) 02/15/2001
  Inventory as of this Action Requested Previously Approved
03/31/2004 03/31/2004
250,000 0 0
41,667 0 0
0 0 0

SSA will collect and use information to establish a Password Data File. The file will be used to allow customers to conduct electronic business with the Agency. SSA will use the following information to verify identity: Name, SSN, Password Request Code, Last Month Payment Amount and Direct Deposit Account Number (if applicable). SSA may also ask for a shared secret created by SSA and mailed or electronically sent to the requestor. The respondents are individuals electing to conduct business with SSA in the electronic medium.

None
None


No

1
IC Title Form No. Form Name
Request for Internet Services - Password Authentication

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 250,000 0 0 250,000 0 0
Annual Time Burden (Hours) 41,667 0 0 41,667 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/15/2001


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