Information Collection

Authorization to the Social Security Administration to Obtain Personal Information

IC 198350 under ICR 202605-0960-009 · OMB 0960-0066.

Documents and Forms

Document Name Document Type
Form SSA-2935-OP1 Authorization to SSA to Obtain Personal Information Authorization to the Social Security Administration to Obtain Personal Information Form and Instruction
SSA-L2938.pdf Other-Cover Letter
SSA-2935-OP1 Authorization to SSA to Obtain Personal Information SSA-2935-OP1.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Authorization to the Social Security Administration to Obtain Personal Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-2935-OP1	Authorization to SSA to Obtain Personal Information	SSA-2935-OP1.pdf		No		Paper Only
Other-Cover Letter			SSA-L2938.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
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.

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