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Form eCBSV User Agreeme eCBSV User Agreeme eCBSV User Agreement
Electronic Consent Based Social Security Number Verification
eCBSV User Agreement (6-7-21) - Clean Copy
Configure Customer System for ability to send in verification requests
OMB: 0960-0817
OMB.report
SSA
OMB 0960-0817
ICR 202402-0960-005
IC 240656
Form eCBSV User Agreeme eCBSV User Agreeme eCBSV User Agreement
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0817 can be found here:
2025-05-16 - No material or nonsubstantive change to a currently approved collection
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