Supplemental Security Income Mobile Wage Reporting (SSIMWR)

Monthly SSI Wage Reporting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0715 can be found here:

Documents and Forms

Document Name Document Type
SSIMWR Training Package - FY 19 - Revised.pdf Other-Mobile Wage Reporting
SSIMWR Training Package - FY 19 - Current.pdf SSIMWR Training Package - Current IC Document

Information Collection (IC) Details

IC Title:	Supplemental Security Income Mobile Wage Reporting (SSIMWR)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 416.701-732

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Mobile Wage Reporting			SSIMWR Training Package - FY 19 - Revised.pdf		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: 77,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	924,000	887,004	36,996
Annual IC Time Burden (Hours)	46,200	44,350	1,850
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSIMWR Training Package - Current	SSIMWR Training Package - FY 19 - Current.pdf	06/12/2019

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