Dispute Resolution

Consent-Based Social Security Number Verification Service (CBSV)

Documents and Forms

Document Name Document Type
CBSV User Agreement - Revised Version.docx Instruction
CBSV User Agreement - Revised Version.docx Instruction
CBSV User Agreement - Current Version.docx CBSV User Agreement - Current IC Document
CBSV User Agreement - Current Version.docx CBSV User Agreement - Current IC Document

Information Collection (IC) Details

IC Title:	Dispute Resolution	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Instruction			CBSV User Agreement - Revised Version.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CBSV User Agreement - Current	CBSV User Agreement - Current Version.docx	07/08/2024

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