Responding to CPA Re-Contact

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⚠️ Notice: This information collection may be referencing outdated material.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
CBSV User Agreement - Revised.docx Instruction
CBSV User Agreement - Current.docx CBSV User Agreement - Current IC Document

Information Collection (IC) Details

IC Title:	Responding to CPA Re-Contact	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			CBSV User Agreement - Revised.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,000	-1,750	5,750
Annual IC Time Burden (Hours)	333	-146	479
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
CBSV User Agreement - Current	CBSV User Agreement - Current.docx	03/10/2020

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