Employer Report of Special Wage Payments--Full Form Including #6

Employer Report of Special Wage Payments

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0565 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-131 Employer Report of Special Wage Payments--Full Form Including #6 Form
SSA-131 Employer Report of Special Wage Payments SSA-131 - Revised Version.pdf Form
SSA-131 - Current Version.pdf Current SSA-131 IC Document

Information Collection (IC) Details

IC Title:	Employer Report of Special Wage Payments--Full Form Including #6	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.428-404.429

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-131	Employer Report of Special Wage Payments	SSA-131 - Revised Version.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,050	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,050	0	1,050
Annual IC Time Burden (Hours)	35	-350	385
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-131	SSA-131 - Current Version.pdf	12/03/2010

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