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Federal forms, ICRs, and supporting documents

Information Collection Request

CERTIFICATE ELECTING SOCIAL SECURITY COVERAGE AND CERTIFICATE OF ELECTION OF COVERAGE

ICR 198402-1545-042 · OMB 1545-0005 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
169788 CERTIFICATE ELECTING SOCIAL SECURITY COVERAGE AND CERTIFICATE OF ELECTION OF COVERAGE Form Migrated
ICR Details
1545-0005 198402-1545-042
Historical Active 198110-1545-014
TREAS/IRS
CERTIFICATE ELECTING SOCIAL SECURITY COVERAGE AND CERTIFICATE OF ELECTION OF COVERAGE
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/03/1984
Approved with change 02/03/1984
Retrieve Notice of Action (NOA) 02/03/1984
  Inventory as of this Action Requested Previously Approved
09/30/1984 09/30/1984 09/30/1984
20,540 0 20,640
8,831 0 8,874
0 0 0
NONPROFIT ORGANIZATIONS MAY ELECT SOCIAL SECURITY (FICA) COVERAGE BY FILING A FORM SS-15 AND ATTACHING A FORM SS-15A SIGNED BY ALL EMPLOYEE WHO WANT FICA COVERAGE. EMPLOYEES NOT SIGNING CAN LATER OBTAIN COVERA BY SIGNING A FORM SS-15A SUPPLEMENT. RELIGIOUS ORDERS MAY ELECT FICA COVERAGE FOR THEIR MEMBERS BY FILING A FORM SS-16.
None
None
No
1
IC Title Form No. Form Name
CERTIFICATE ELECTING SOCIAL SECURITY COVERAGE AND CERTIFICATE OF ELECTION OF COVERAGE SS-15, SS-15A, SS-15A SUPP, SS-16
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 20,540 20,640 0 -100 0 0
Annual Time Burden (Hours) 8,831 8,874 0 -43 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/03/1984