Information Collection Request

Privacy and Disclosure of Official Records and Information; Availability of Information and Records to the Public

ICR 202301-0960-001 · OMB 0960-0566 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0566 can be found here:

Forms and Documents

Document Name	Status
Form SSA-3288 b. Consent of Release of Records - 20 CFR 401.100(a)&(b) - SSA-3288 Form and Instruction	Modified
Addendum - 0566.docx Supplementary Document	2023-01-11
Supporting Statement - 0566.docx Supporting Statement A	2023-01-11

IC Document Collections

IC ID	Document Title	Status
45122	e. FOIA Requests for Records - 20 CFR 402.130	Removed
45121	b. Consent of Release of Records - 20 CFR 401.100(a)&(b) - SSA-3288 Form and Instruction	Modified
45120	a. Amendment of Records - 20 CFR 401.65(a)	Modified
45119	b. Designating a Representative For Disclosure - 401.55(b)	Removed
38034	a. Access to Records - 20 CFR 401.40(b)&(c) & 401.45	Removed
257878	c. Consent for Release of Records (Electronic SSA-3288-OP1)+ Other-Webform Application	New
213569	f. Respondents who request access to an extract of their SSN record Other-SSN Printout	Removed

ICR Details

Status	Received in OIRA
Agency/Subagency	SSA
OMB Control No	0960-0566
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	201905-0960-005
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31