myWageReport

Monthly SSI Wage Reporting

Documents and Forms

Document Name Document Type
myWR-Screen Design (revised).docx Other-myWage Report Screens
myWR-Screen Design (revised).docx Other-myWage Report Screens
myWageReport Screens (current).docx myWage Report Screens (current) IC Document
myWageReport Screens (current).docx myWage Report Screens (current) IC Document

Information Collection (IC) Details

IC Title:	myWageReport	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-myWage Report Screens			myWR-Screen Design (revised).docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,557	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	42,684	42,684
Annual IC Time Burden (Hours)	4,980	4,980
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
myWage Report Screens (current)	myWageReport Screens (current).docx	05/05/2023

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