Using System to Upload Request Files, Check Status, Download Results

Consent-Based Social Security Number Verification Service (CBSV)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0760 can be found here:

Documents and Forms

Document Name Document Type
CBSVUserGuide-031312 (3).pdf Instruction
CBSV_Screenshots_ver3.docx URL not established until approval Other-Screen shots

Information Collection (IC) Details

IC Title:	Using System to Upload Request Files, Check Status, Download Results	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 401.100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			CBSVUserGuide-031312 (3).pdf		No		Paper Only
Other-Screen shots			CBSV_Screenshots_ver3.docx	URL not established until approval	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	22,590	0	22,590
Annual IC Time Burden (Hours)	1,883	0	1,883
Annual IC Cost Burden (Dollars)	0	-3,597,006	3,597,006

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.