Ssa-2935

Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0189 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-2935 SSA-2935 Form and Instruction
SSA-2935 Authorization to the Social Security Administration to O SSA-2935 - Revised.pdf Form and Instruction
SSA-2935 Authorization to the Social Security Administration to O SSA-2935 - Revised.pdf Form and Instruction
SSA-2935 - Current.pdf SSA-2935 - Current IC Document
SSA-2935 - Current.pdf SSA-2935 - Current IC Document

Information Collection (IC) Details

IC Title:	SSA-2935	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-2935	Authorization to the Social Security Administration to Obtain Personal Informaition	SSA-2935 - Revised.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,350	2,350
Annual IC Time Burden (Hours)	862	862
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-2935 - Current	SSA-2935 - Current.pdf	10/06/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.