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Federal forms, ICRs, and supporting documents

Information Collection Request

Authorization to Obtain Earnings Data from the Social Security Administration, 26 USC 6103

ICR 200506-0960-004 · OMB 0960-0602 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
9588 Authorization to Obtain Earnings Data from the Social Security Administration, 26 USC 6103 Form Migrated
ICR Details
0960-0602 200506-0960-004
Historical Active 200204-0960-005
SSA
Authorization to Obtain Earnings Data from the Social Security Administration, 26 USC 6103
Extension without change of a currently approved collection   No
Regular
Approved without change 08/24/2005
Retrieve Notice of Action (NOA) 06/29/2005
  Inventory as of this Action Requested Previously Approved
08/31/2008 08/31/2008 08/31/2005
60,000 0 60,000
2,000 0 2,000
0 0 0
The information collected on Form SSA-581 is used to verify the authorization of the wage earner, or other party, to access the correct earnings record and disposition of the response. This access is required in order to produce an itemized statement for release to the proper third party. The respondents are individuals, and various private/public organizations/agencies needing detailed earnings information.
None
None
No
1
IC Title Form No. Form Name
Authorization to Obtain Earnings Data from the Social Security Administration, 26 USC 6103 SSA-581
  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 60,000 60,000 0 0 0 0
Annual Time Burden (Hours) 2,000 2,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$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.
06/29/2005