OMB control number

Coverage of Employees of State and Local Governments

OMB 0960-0425 · SSA.

OMB 0960-0425

The Code of Federal Regulations at 20 CFR 404 prescribe the rules for States submitting reports of deposits and related record keeping to SSA. States are required to provide wage information and deposit- related contribution information for pre-1987 periods. The respondents are State and local governments. We are submitting this extension request to extend the current information collection without changes to the currently approved collection (as a note, this information collection is for CFR citations which we have not changed over the past three years).

The latest form for Coverage of Employees of State and Local Governments expires 2028-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Supporting Statement - 0425 (Final).docx Supporting Statement A
20 CFR 404.1216 Modification of Agreement to Correct an Error Other-Original Agrement Example
20 CFR 404.1215 Modification of Agreement Other-Original Agrement Example
20 CFR 404.1204 Designating Officials to Act on Behalf of the State Other-Original Agrement Example

All Historical Document Collections

202411-0960-010	Extension without change of a currently approved collection	2025-03-13
202104-0960-008 Approved with change	Revision of a currently approved collection	2021-09-20
201806-0960-005 Approved without change	Revision of a currently approved collection	2018-07-30
201505-0960-009 Approved without change	Reinstatement without change of a previously approved collection	2015-07-31
201109-0960-005 Approved without change	Revision of a currently approved collection	2011-12-22
200809-0960-004 Approved without change	Extension without change of a currently approved collection	2009-02-27
200512-0960-003 Approved without change	Extension without change of a currently approved collection	2005-12-07
200210-0960-006 Approved without change	Extension without change of a currently approved collection	2002-10-21
199906-0960-010 Approved without change	Extension without change of a currently approved collection	1999-06-18
199604-0960-001 Approved without change	Reinstatement with change of a previously approved collection	1996-04-05
198810-0960-003 Approved without change	Revision of a currently approved collection	1988-10-04
198512-0960-001 Approved without change	New collection (Request for a new OMB Control Number)	1985-12-13

OMB Details

20 CFR 404.1204 Designating Officials to Act on Behalf of the State

Federal Enterprise Architecture: Income Security - General Retirement and Disability