Information Collection

Member of the public requesting direct deposit in a field office who needs identity proofing

IC 275059 under ICR 202504-0960-002 · OMB 0960-0846.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0846 can be found here:

Documents and Forms

Document Name Document Type
Security Authentication PIN Generation - Internet Screens.docx www.ssa.gov (mySocial Security Account) Other-Internet Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Member of the public requesting direct deposit in a field office who needs identity proofing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 401.45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			Security Authentication PIN Generation - Internet Screens.docx	www.ssa.gov (mySocial Security Account)	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,937,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,937,000	1,937,000
Annual IC Time Burden (Hours)	1,000,783	1,000,783
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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