Registration Process

Consent-Based Social Security Number Verification Service (CBSV)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0760 can be found here:

Documents and Forms

Document Name Document Type
CBSV User Guide.doc Other-Section 2 of User Guide
CBSV_Screen_Shots[1].ppt URL not established until approval Other-Screen shots
enrollmentAppSSA200.pdf Enrollment Application IC Document

Information Collection (IC) Details

IC Title:	Registration Process	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Section 2 of User Guide			CBSV User Guide.doc		No		Paper Only
Other-Screen shots			CBSV_Screen_Shots[1].ppt	URL not established until approval	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-80	90
Annual IC Time Burden (Hours)	20	-160	180
Annual IC Cost Burden (Dollars)	50,000	-18,400,000	18,450,000

Documents for IC

Title	Document	Date Uploaded
Enrollment Application	enrollmentAppSSA200.pdf	11/17/2010

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