Wage Reports and Pension Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0547 can be found here:

Documents and Forms

Document Name Document Type
2015 sample correspondence wage rpts and pension (revised).pdf Other-Sample Correspondence Request

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Wage Reports and Pension Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 422.122(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample Correspondence Request			2015 sample correspondence wage rpts and pension (revised).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: 580	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	580	180	400
Annual IC Time Burden (Hours)	290	90	200
Annual IC Cost Burden (Dollars)	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.