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Missing and Discrepant Wage Reports Letter and Questionnaire
Missing and Discrepant Wage Reports Letter and Questionnaire
OMB: 0960-0432
IC ID: 9293
OMB.report
SSA
OMB 0960-0432
ICR 201911-0960-001
IC 9293
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0432 can be found here:
2023-08-18 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
SSA-L-94-SM (Notice).pdf
Other-Cover Letter
SSA-L-93-SM (Notice).pdf
Other-Cover Letter
SSA-95-SM Employer Questionnaire--SSA Has No Record of Employer Re
SSA-95-SM (first request) revised.pdf
Form
SSA-97-SM Employer Questionnaire--Discrepancy Between IRS and SSA
SSA-97-SM (first request) revised.pdf
Form
SSA-95-SM (second Second Request- Employer Questionnaire--SSA Has No Recor
SSA-95-SM (second request) revised.pdf
Form
SSA-97-SM (second Second Request -Employer Questionnaire- Discrepancy Betw
SSA-97-SM (second request) revised.pdf
Form
SSA-95-SM (first request) current.pdf
SSA-95-SM - Current
IC Document
SSA-97-SM (first request) current.pdf
SSA-97-SM - Current
IC Document
SSA-95-SM Questionnaire (second request) current.pdf
SSA-95-SM second request
IC Document
SSA-97-SM Questionnaire (second request) current.pdf
SSA-97-SM second request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Missing and Discrepant Wage Reports Letter and Questionnaire
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
26 CFR 31.6051-2
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Cover Letter
SSA-L-93-SM (Notice).pdf
No
Paper Only
Form
SSA-97-SM
Employer Questionnaire--Discrepancy Between IRS and SSA Records
SSA-97-SM (first request) revised.pdf
No
Paper Only
Form
SSA-95-SM
Employer Questionnaire--SSA Has No Record of Employer Report
SSA-95-SM (first request) revised.pdf
No
Paper Only
Other-Cover Letter
SSA-L-94-SM (Notice).pdf
No
Paper Only
Form
SSA-95-SM (second request)
Second Request- Employer Questionnaire--SSA Has No Record of Employer Report
SSA-95-SM (second request) revised.pdf
No
Paper Only
Form
SSA-97-SM (second request)
Second Request -Employer Questionnaire- Discrepancy Between IRS and SSA Records
SSA-97-SM (second request) revised.pdf
No
Paper Only
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:
360,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
360,000
0
0
0
0
360,000
Annual IC Time Burden (Hours)
180,000
0
0
0
0
180,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA-95-SM - Current
SSA-95-SM (first request) current.pdf
11/05/2019
SSA-97-SM - Current
SSA-97-SM (first request) current.pdf
11/05/2019
SSA-95-SM second request
SSA-95-SM Questionnaire (second request) current.pdf
11/05/2019
SSA-97-SM second request
SSA-97-SM Questionnaire (second request) current.pdf
11/05/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.