Authorization to Disclose Information to the Social Security Administration

OMB 0960-0623

OMB 0960-0623

Sections 223(d)(5)(A) and 1614(a)(3)(H)(i) of the Social Security Act require claimants to provide medical and other evidence the Commissioner of Social Security may require to prove they are disabled. SSA must obtain sufficient evidence to make eligibility determinations for Title II and Title XVI payments. Therefore, the applicant must authorize release of information from various sources to SSA. The applicants use Form SSA 827, or the Internet counterpart, i827, to provide consent for the release of medical records, education records, and other information related to their ability to perform tasks. Once the applicant completes Form SSA-827, or the i827, SSA or the State DDS sends the form to the designated source(s) to obtain pertinent records. The respondents are applicants for Title II and Title XVI disability payments.

The latest form for Authorization to Disclose Information to the Social Security Administration expires 2021-03-31 and can be found here.

All Historical Document Collections
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Revision of a currently approved collection 2021-03-02
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Revision of a currently approved collection 2017-07-31
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Revision of a currently approved collection 2014-08-18
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No material or nonsubstantive change to a currently approved collection 2013-11-19
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No material or nonsubstantive change to a currently approved collection 2013-05-08
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No material or nonsubstantive change to a currently approved collection 2012-09-25
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No material or nonsubstantive change to a currently approved collection 2012-02-09
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Revision of a currently approved collection 2011-09-01
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No material or nonsubstantive change to a currently approved collection 2011-04-08
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Revision of a currently approved collection 2008-10-10
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Revision of a currently approved collection 2008-03-12
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Revision of a currently approved collection 2007-04-11
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Revision of a currently approved collection 2004-04-23
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Revision of a currently approved collection 2002-12-18
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Existing collection in use without an OMB Control Number 2000-07-28
OMB Details

SSA-827 with wet signature(paper version)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-827Authorization To Disclose Information To The Social Security Administration www.ssa.gov/online/ssa-827.pdfForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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