Information Collection Request

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

ICR 202406-0960-004 · 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⚠️ Notice: This information collection may be outdated.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	Unchanged
Justification for a Non-Substantive Change - 0960-0566.docx Justification for No Material/Nonsubstantive Change	2024-06-24
Addendum - 0566.docx Supplementary Document	2023-01-11
Supporting Statement - 0566- (clean copy).docx Supporting Statement A	2023-04-14

IC Document Collections

IC ID	Document Title	Status
45121	b. Consent of Release of Records - 20 CFR 401.100(a)&(b) - SSA-3288 Form and Instruction	Unchanged
45120	a. Amendment of Records - 20 CFR 401.65(a)	Unchanged
257878	c. Consent for Release of Records (Electronic SSA-3288-OP1)+ Other-Webform Application	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	SSA
OMB Control No	0960-0566
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202301-0960-001
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31