Electronic Records Express Third-Party Registration Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0767 can be found here:

Documents and Forms

Document Name Document Type
Electronic Records Express Third-Party Registration Form Form and Instruction
Electronic Records Express Third-Party Registration Form ERE 3rd-party registration form.pdf Form and Instruction
Third-Party ERE sample screen shots.doc ERE Third-Party Submission Screen Shots IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Electronic Records Express Third-Party Registration Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Electronic Records Express Third-Party Registration Form	ERE 3rd-party registration form.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 78,344	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	78,344	78,344
Annual IC Time Burden (Hours)	3,917	3,917
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ERE Third-Party Submission Screen Shots	Third-Party ERE sample screen shots.doc	09/21/2007

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