eCBSV Enrollment Process

Electronic Consent Based Social Security Number Verification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0817 can be found here:

Documents and Forms

Document Name Document Type
Form eCBSV User Agreeme eCBSV Enrollment Process Form and Instruction
eCBSV Webpage Content.pdf Other-eCBSV Webpage Content
eCBSV User Agreeme eCBSV User Agreement eCBSV User Agreement Clean Version FINAL (7-1-2020).docx Form and Instruction

Information Collection (IC) Details

IC Title:	eCBSV Enrollment Process	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	eCBSV User Agreement	eCBSV User Agreement	eCBSV User Agreement Clean Version FINAL (7-1-2020).docx		Yes	Yes	Fillable Fileable Signable
Other-eCBSV Webpage Content			eCBSV Webpage Content.pdf		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: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	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.