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Certificate Electing Social Security Coverage And Certificate Of Election Of Coverage

IC 169788 under ICR 198402-1545-042 · OMB 1545-0005.

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CERTIFICATE ELECTING SOCIAL SECURITY COVERAGE AND CERTIFICATE OF ELECTION OF COVERAGE
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SS-15A SUPP No No
Form SS-15A No No
Form SS-16 No No
Form SS-15 No No


    

20,640 0
   
Private Sector Businesses or other for-profits
 
   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 20,540 0 -100 0 0 20,640
Annual IC Time Burden (Hours) 8,831 0 -43 0 0 8,874
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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