Request for Accommodation in Communication Method - mySNO

Request for Accommodation in Communication Method

Documents and Forms

Document Name Document Type
mySNO - MySSA Internet Screens.pdf www.myssa.gov Other-Internet Screens
mySNO - MySSA Internet Screens.pdf www.myssa.gov Other-Internet Screens

Information Collection (IC) Details

IC Title:	Request for Accommodation in Communication Method - mySNO	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 45 CFR 85.51

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			mySNO - MySSA Internet Screens.pdf	www.myssa.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: 8,414	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	8,414	8,414
Annual IC Time Burden (Hours)	2,805	2,805
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.