Title II & Title XVI Electronic (MCS MSSICS, iClaim, and eWork)

Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers

Documents and Forms

Document Name Document Type
Wage and Employment Information Authorization-Web screens.docx Other-Internet screens
Wage and Employment Information Authorization-Web screens.docx Other-Internet screens

Information Collection (IC) Details

IC Title:	Title II & Title XVI Electronic (MCS MSSICS, iClaim, and eWork)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet screens			Wage and Employment Information Authorization-Web screens.docx		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: 697,580	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	697,580	-2,795,323	3,492,903
Annual IC Time Burden (Hours)	360,416	243,986	116,430
Annual IC Cost Burden (Dollars)	0	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.