Work Activity Report (Self-Employment) SSA-820-APP

Work Activity Report (Self-Employment)

OMB: 0960-0598

IC ID: 261594

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Information Collection (IC) Details

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Work Activity Report (Self-Employment) SSA-820-APP
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1571-404.1576 20 CFR 404.1584-404.1593 20 CFR 416.971-416.976 20 CFR 404.1520(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-SSA-82-APP Screen Package (revised) SSA-820-APP Screen Package (revised).pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

2,857 0
   
Individuals or Households
 
   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 2,857 0 0 2,857 0 0
Annual IC Time Burden (Hours) 2,381 0 0 2,381 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-820-APP Screen (current) SSA-820-APP Screens (current).pdf 11/20/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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