ePFT - Respondent Type 1 (ex: Potential Applicants)

Electronic Protective Filing Tool

Documents and Forms

Document Name Document Type
Journey Through SSA.gov to Enter ePFT.pdf www.ssa.gov Other-Internet and Mobile App Screen
Journey Through SSA.gov to Enter ePFT.pdf www.ssa.gov Instruction
SSI Online Appointment Screens - 1st Party Path.pdf www.ssa.gov Other-Internet and Mobile App Screen
SSI Online Appointment Screens - 1st Party Path.pdf www.ssa.gov Other-Internet and Mobile App Screen

Information Collection (IC) Details

IC Title:	ePFT - Respondent Type 1 (ex: Potential Applicants)	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 404.630 20 CFR 416.340 - 416.345

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Journey Through SSA.gov to Enter ePFT.pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet and Mobile App Screens			SSI Online Appointment Screens - 1st Party Path.pdf	www.ssa.gov	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: 17,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,000	17,000
Annual IC Time Burden (Hours)	1,700	1,700
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.