CPA Compliance Review and Report

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⚠️ Notice: This information collection may be referencing outdated material.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 CPA Compliance Review and Report Form and Instruction
eCBSV Webpage Content.pdf Other-eCBSV Webpage Content
eCBSV User Agreeme eCBSV User Agreement eCBSV User Agreement - Final.docx Form and Instruction

Information Collection (IC) Details

IC Title:	CPA Compliance Review and Report	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 - Final.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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	800	800
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.