Information Collection

myWageReport

IC 256160 under ICR 202307-0960-006 · OMB 0960-0715.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0715 can be found here:

Documents and Forms

Document Name Document Type
myWR-Screen Design (revised).docx Other-myWage Report Screens
myWR-Screen Design (revised).docx Other-myWage Report Screens
myWageReport Screens (current).docx myWage Report Screens (current) IC Document
myWageReport Screens (current).docx myWage Report Screens (current) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	myWageReport	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-myWage Report Screens			myWR-Screen Design (revised).docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,557	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	42,684	42,684
Annual IC Time Burden (Hours)	4,980	4,980
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
myWage Report Screens (current)	myWageReport Screens (current).docx	05/05/2023

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