Government to Government Services Online Website Registration (SSA-159)

Government to Government Services Online Website Registration, Government to Government Services Online Website Account Modification/Deletion Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0757 can be found here:

Documents and Forms

Document Name Document Type
GSO_New_Reg_Form_GUIDELINES_12-2008_(4)[1].doc Instruction
Replacement Statement (replacing the current Privacy Act Statement).pdf Other-Replacement Statement (to repl
SSA-159 Government to Government Services Online Website Registr SSA-159 revised version.pdf Form
SSA-159 - Current Version.pdf SSA-159 Current Version IC Document

Information Collection (IC) Details

IC Title:	Government to Government Services Online Website Registration (SSA-159)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Instruction			GSO_New_Reg_Form_GUIDELINES_12-2008_(4)[1].doc	No	Paper Only
Form	SSA-159	Government to Government Services Online Website Registration Form SSA-159	SSA-159 revised version.pdf	No	Fillable Printable
Other-Replacement Statement (to replace current Privacy Act)			Replacement Statement (replacing the current Privacy Act Statement).pdf	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,543	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,543	618	925
Annual IC Time Burden (Hours)	386	155	231
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-159 Current Version	SSA-159 - Current Version.pdf	08/12/2016

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