OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Work Activity Report--Employee

IC 8980 under ICR 201505-0960-008 · OMB 0960-0059.

Documents and Forms
Document Name
Document Type
Form
Other-Revised Privacy Act Statement
Other-Revised Paperwork Reduction Ac
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Work Activity Report--Employee
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1584-1593 20 CFR 404.1571-1576 20 CFR 416.971-976 20 CFR 404.1520(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-821-BK Work Activity Report- Employee SSA-821 (revised).pdf Yes No Fillable Printable
Other-Revised Privacy Act Statement Revised Privacy Act Statement.doc No   Paper Only
Other-Revised Paperwork Reduction Act PRA revised.doc No   Paper Only

Income Security General Retirement and Disability

 

300,000 0
   
Individuals or Households
 
   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 300,000 0 0 0 300,000 0
Annual IC Time Burden (Hours) 150,000 0 0 0 150,000 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-821-BK (current) SSA-821-BK (current).pdf 05/26/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.