e827 - Internet Version (eAuthorization)

Authorization to Disclose Information to the Social Security Administration

Documents and Forms

Document Name Document Type
827 iAppeal Screens.pdf www.socialsecurity.com Other-Internet Screens
827 iClaim Screens.pdf www.socialsecurity.com Other-Internet Screens

Information Collection (IC) Details

IC Title:	e827 - Internet Version (eAuthorization)	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 416.912 45 CFR 160 & 164 20 CFR 404.1512

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			827 iAppeal Screens.pdf	www.socialsecurity.com	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens			827 iClaim Screens.pdf	www.socialsecurity.com	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: 4,189,270	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	4,189,270	4,189,270
Annual IC Time Burden (Hours)	628,391	628,391
Annual IC Cost Burden (Dollars)	0	0

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.