c. Consent for Release of Records (Electronic SSA-3288-OP1)+

Privacy and Disclosure of Official Records and Information; Availability of Information and Records to the Public

OMB: 0960-0566

IC ID: 257878

Information Collection (IC) Details

View Information Collection (IC)

c. Consent for Release of Records (Electronic SSA-3288-OP1)+
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 401.100

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Webform Application SSA-3288-OP1 (revised).pdf www.ssa.gov/privacy Yes Yes Fillable Fileable Signable
Form and Instruction SSA-3288-OP1 Consent for Disclosure of Records Protection Under the Privacy Act SSA-3288-OP1 (Paper Version).pdf www.ssa.gov/privacy Yes No Fillable Printable

Income Security General Retirement and Disability

 

40,341 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 40,341 0 0 0 0 40,341
Annual IC Time Burden (Hours) 43,030 0 0 0 0 43,030
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-3288-OP1: (Webform Application) (current) SSA-3288-OP1 screens (current).pdf 06/24/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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