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Authorization to Obtain Earnings Data from the Social Security Administration
Authorization to Obtain Earnings Data from the Social Security Administration
OMB: 0960-0602
IC ID: 9588
OMB.report
SSA
OMB 0960-0602
ICR 202003-0960-003
IC 9588
( )
Documents and Forms
Document Name
Document Type
Form SSA-581
Authorization to Obtain Earnings Data from the Social Security Administration
Form and Instruction
SSA-581 Authorization to Obtain Earnings Data from the Social Se
SSA-581 - Revised.pdf
Form and Instruction
SSA-581 - Current.pdf
SSA-581 - Current
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Authorization to Obtain Earnings Data from the Social Security Administration
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SSA-581
Authorization to Obtain Earnings Data from the Social Security Administration
SSA-581 - Revised.pdf
No
Fillable Printable
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:
24,000
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:
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
24,000
0
0
0
0
24,000
Annual IC Time Burden (Hours)
800
0
0
0
0
800
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA-581 - Current
SSA-581 - Current.pdf
05/04/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.