Work Activity Report--Employee

Work Activity Report--Employee

OMB: 0960-0059

IC ID: 8980

Documents and Forms
Document Name
Document Type
Form
Other-Revised PA & PRA Statements
Other-Revised PA & PRA Statements
Form
Form
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Work Activity Report--Employee
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1520(b) 20 CFR 404.1584-1593 20 CFR 404.1571-1576 20 CFR 416.971-976

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-821-BK Work Activity Report- Employee SSA-821-BK.pdf Yes No Fillable Printable
Form and Instruction SSA-821-APP (Submittable PDF) Work Activity Report- Employee SSA-821-APP - Screen Package.pdf Yes Yes Fillable Fileable Signable
Other-Revised PA & PRA Statements Revised PA & PRA Statements.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

 

411,300 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 411,300 0 0 111,300 0 300,000
Annual IC Time Burden (Hours) 205,650 0 0 55,650 0 150,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-821-BK - Current SSA-821-BK - Current.pdf 11/12/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy