SSA-8240 (Paper Version)

Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers

OMB: 0960-0807

IC ID: 225979

Documents and Forms
Document Name
Document Type
Other-Revised PA Statement
Other-Revised PA Statement
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SSA-8240 (Paper Version)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Revised PA Statement PA Statement 0960-0807 (Revised).docx www.ssa.gov Yes No Fillable Printable
Form SSA-8240 Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers ssa-8240.pdf www.ssa.gov Yes No Fillable Printable

Income Security General Retirement and Disability

 

150,000 0
   
Individuals or Households
 
   0 %

  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 150,000 0 0 0 0 150,000
Annual IC Time Burden (Hours) 37,500 0 0 22,500 0 15,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-8240 - Current ssa-8240 (Current).pdf 10/06/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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