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Supplemental Security Income Mobile Wage Reporting (SSIMWR)
Monthly SSI Wage Reporting
OMB: 0960-0715
IC ID: 203908
OMB.report
SSA
OMB 0960-0715
ICR 201208-0960-009
IC 203908
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0715 can be found here:
2023-08-02 - No material or nonsubstantive change to a currently approved collection
2022-10-12 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
SSIMWR Screen Package - 8-12.pdf
Other-Smart-Phone Application
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supplemental Security Income Mobile Wage Reporting (SSIMWR)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
20 CFR 416.701-732
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Smart-Phone Application
SSIMWR Screen Package - 8-12.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
60,000
0
60,000
0
0
0
Annual IC Time Burden (Hours)
3,000
0
3,000
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.