People whose SSNs SSA will verify - Reading and Signing

Electronic Consent Based Social Security Number Verification

Documents and Forms

Document Name Document Type
Form eCBSV User Agreeme People whose SSNs SSA will verify - Reading and Signing Form and Instruction
eCBSV User Agreement eCBSV User Agreement eCBSV User Agreement - Revised Version.docx www.ssa.gov Form and Instruction
eCBSV Customer Connection Screen Package.docx www.ssa.gov Other-Internet Screens
eCBSV Online Registration and Enrollment Instructions.docx Other-Online Registration and Enrollment Instructions.docx
eCBSV User Agreement - Current Version.docx Current User Agreement IC Document

Information Collection (IC) Details

IC Title:	People whose SSNs SSA will verify - Reading and Signing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 401.100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	eCBSV User Agreement	eCBSV User Agreement	eCBSV User Agreement - Revised Version.docx	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens			eCBSV Customer Connection Screen Package.docx	www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Online Registration and Enrollment Instructions.docx			eCBSV Online Registration and Enrollment Instructions.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 76,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	76,000,000	76,000,000
Annual IC Time Burden (Hours)	3,800,000	3,800,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current User Agreement	eCBSV User Agreement - Current Version.docx	05/16/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.