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0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725)
Changes to the Use of Electronic Payroll Data to Improve Program Administration
OMB: 0960-0837
IC ID: 265218
OMB.report
SSA
OMB 0960-0837
ICR 202402-0960-003
IC 265218
( )
Documents and Forms
Document Name
Document Type
Form SSA-L725
0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725)
Form and Instruction
SSA-L725 Letter to Employer Requesting Information About Wages Ea
SSA-L725.pdf
www.ssa.gov
Form and Instruction
SSA-L725 Letter to Employer Requesting Information About Wages Ea
SSA-L725.pdf
www.ssa.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
0960-0034 - Letter to Employer Requesting Information About Wages Earned by Beneficiary (SSA-L725)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 703(a)&(b)
20 CFR 404.1588(b)(3)(iii) & (b)(4)
20 CFR 416.708(c)
20 CFR 416.709
(To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SSA-L725
Letter to Employer Requesting Information About Wages Earned by Beneficiary
SSA-L725.pdf
www.ssa.gov
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
170,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
170,000
0
0
170,000
0
0
Annual IC Time Burden (Hours)
113,333
0
0
113,333
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.