OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Online Request for Correction of Earnings Record

IC 261098 under ICR 202602-0960-003 · OMB 0960-0029.

Documents and Forms
Document Name
Document Type
Other-mySSA Earnings Correction Scre
Other-Revised PA Statement
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Online Request for Correction of Earnings Record
 
No Modified
 
Voluntary
 
20 CFR 404.820 20 CFR 422.125

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-mySSA Earnings Correction Screen mySSA Earnings Corrections Screen Package (revised).docx Yes Yes Fillable Fileable
Other-Revised PA Statement Revised Privacy Act Statement.docx No   Paper Only

Income Security General Retirement and Disability

 

14,194 0
   
Individuals or Households
 
   100 %

  Requested 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 14,194 0 0 -61,853 0 76,047
Annual IC Time Burden (Hours) 10,646 0 0 -8,366 0 19,012
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
mySSA Earnings Correction Screen (current) mySSA Earnings Corrections Screen Package - Current.docx 05/25/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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