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ePFT - Respondent Type 3 (ex: Attorney Representatives)
Electronic Protective Filing Tool
OMB: 0960-0825
IC ID: 251889
OMB.report
SSA
OMB 0960-0825
ICR 202202-0960-008
IC 251889
( )
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 -Assistor-3rd party path.pdf
www.ssa.gov
Other-Internet and Mobile App Screen
SSI Online Appointment Screens -Assistor-3rd party path.pdf
www.ssa.gov
Other-Internet and Mobile App Screen
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ePFT - Respondent Type 3 (ex: Attorney Representatives)
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 416.340 - 416.345
20 CFR 404.630
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 -Assistor-3rd party path.pdf
www.ssa.gov
Yes
Yes
Fillable Fileable Signable
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:
2,125
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:
100 %
Approved
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
4,250
0
4,250
0
0
0
Annual IC Time Burden (Hours)
496
0
496
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.