One-Time Start-Up Fee for States Using EDR

State Death Match Collections

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0700 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	One-Time Start-Up Fee for States Using EDR	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 404.371 20 CFR 416.912 20 CFR 404.301 20 CFR 404.310-404.311 20 CFR 404.316 20 CFR 404.330-404.341 20 CFR 404.350-352

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31	12	19
Annual IC Time Burden (Hours)	0	0	0
Annual IC Cost Burden (Dollars)	77,500,000	30,000,000	47,500,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

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